Original ArticleReverse-Flow First Dorsal Metacarpal Artery Flap for Index Fingertip ReconstructionKaramürsel, Sebat MD; Çelebioğlu, Selim MDAuthor Information From the Ankara Social Security Hospital Plastic and Reconstructive Surgery Clinic, Ankara, Turkey. Received December 14, 2004, and accepted for publication, after revision, March 11, 2005. Reprints: Sebat Karamürsel, Kenedy Caddesi Arzum Apt No: 111/23, GOP Ankara 06700, Turkey. E-mail: [email protected]. Annals of Plastic Surgery: June 2005 - Volume 54 - Issue 6 - p 600-603 doi: 10.1097/01.sap.0000164527.28417.bf Buy Metrics AbstractIn Brief Dorsum of the hand is an ideal skin-flap donor site for coverage of hand or finger defects. We elevated 8 reverse-flow first dorsal metacarpal artery flap in 9 patients for soft-tissue cover of index fingertip injuries distal to distal interphalangeal joint with exposed bone. In 3 patients, the digital branch of the superficial radial nerve was coapted to the digital nerve. All flaps healed uneventfully, except for 1 patient in which partial necrosis of the flap occurred. Postoperative follow-up was 4–12 months (mean, 8 months). Reverse-flow first dorsal metacarpal artery flap is a good alternative for reconstruction of index fingertip injuries. Eight reverse-flow first dorsal metacarpal artery flaps were used to cover index distal phalangeal defects, three incorporating the digital branch of the superficial radial nerve. A single partial flap loss was noted. © 2005 Lippincott Williams & Wilkins, Inc.