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First dorsal metacarpal arterialized venous (FDMAV) flap: intraoperative salvage of an ischemic FDMA flap by arteriovenous supercharging—a case report in thumb reconstruction

  • Case Report
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European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Skin reconstruction because of deep wound on the dorsal thumb surface could be challenging. First dorsal metacarpal artery (FDMA) flap could provide excellent functional and cosmetic results. Although it is rare, intraoperative flap ischemia due to poor arterial inflow is possible. We describe an arteriovenous supercharging technique used to successfully revascularize a FDMA flap.

Level of evidence: Level V, therapeutic study.

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Via del Vespro 129, 90127, Palermo, Italy

    Pierfrancesco Pugliese, Emanuele Cammarata, Giulio Borraccino, Francesca Toia & Adriana Cordova

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  1. Pierfrancesco Pugliese
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  2. Emanuele Cammarata
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  3. Giulio Borraccino
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  4. Francesca Toia
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  5. Adriana Cordova
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Correspondence to Emanuele Cammarata.

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Ethical approval

All the procedures performed in this study were in accordance with the ethical standards of our institution and with the principles stated in the 1964 World Medical Association Declaration of Helsinki and its later amendments or comparable ethical standards. For case reports, formal consent from our hospital ethics committee is not required.

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Written informed consent was obtained from the patient.

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Pierfrancesco Pugliese, Emanuele Cammarata, Giulio Borraccino, Francesca Toia, and Adriana Cordova declare no conflict of interest.

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Pugliese, P., Cammarata, E., Borraccino, G. et al. First dorsal metacarpal arterialized venous (FDMAV) flap: intraoperative salvage of an ischemic FDMA flap by arteriovenous supercharging—a case report in thumb reconstruction. Eur J Plast Surg 46, 119–124 (2023). https://doi.org/10.1007/s00238-022-02030-4

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  • DOI: https://doi.org/10.1007/s00238-022-02030-4

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