| This gentleman had a chronic recurring ulceration over the dorsal aspect of the middle finger metacarpal head after treatment for extensive burn injuries. Because of the limited availability of dorsal skin flap donor sites, the area in question was resurfaced using a digital artery island flap from the same finger. |
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| The middle metacarpal head had repeated skin breakdown. Reconstruction involved excisional biopsy to confirm that this was not due to burn scar carcinoma. |
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| Flap design, based on the ulnar digital artery. |
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| This flap incorporates the digital artery and vena commitantes, but leaves the digital nerve in continuity. |
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| Flap inset: |
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| Skin graft donor area: |
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