Ulnar Para-metacarpal Flap for Recurrence of Dupuytren’s Disease with Skin Ulcer: A Case Report
What to Learn from this Article?

Surgical technique and Utility of Ulnar Para-Metacarpal Flap.


Case Report | Volume 4 | Issue 4 | JOCR Oct-Dec 2014 | Page 60-63 | Yoichi Sugiyama Y, Naito K, Igeta Y, Kaneko K, Obayashi O. DOI: 10.13107/jocr.2250-0685.229


Authors: Yoichi Sugiyama Y [1], Naito K [1], Igeta Y [2], Kaneko K [1], Obayashi O [1]

[1] Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, 410-2295-Japan.

[2] Department of Orthopaedics, Juntendo University School of Medicine, 410-2295-Japan.

Address of Correspondence:

Dr. Kiyohito Naito, Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka, 410-2295 Japan. Ph: +81-559-48-3111, Fax:+81-559-46-0010. Email: knaito@juntendo.ac.jp


Abstract

Introduction: In a patient with recurrent Dupuytren’s disease, we performed dermofasciectomy including the diseased skin and soft tissue, and covered the soft tissue defect using an ulnar parametacarpal flap.

Case Report: A 65-year-old man had undergone invasive aponeurectomy for Dupuytren’s contracture of the right 5th finger 3 years before, but showed recurrence about 1 year after surgery. Since a skin ulcer was noted at the site of recurrence, dermofasciectomy including the scarred skin was performed on the palmar side of the 5th finger, and the skin defect was covered with an ulnar parametacarpal flap. No recurrence has been noted for the 6 months since the surgery.

Conclusion: The ulnar parametacarpal flap, in which the vascular pedicle is easy to identify, is useful for covering a skin defect on the palmar side of the 5th finger if used as an island flap. However, a disadvantage of this flap is that it is likely to develop congestion due to poor venous return.

Keywords: Ulnar parametacarpal flap, Recurrence of Dupuytren’s disease, Dermofasciectomy.


 

How to Cite This Article: Yoichi Sugiyama Y, Naito K, Igeta Y, Kaneko K, Obayashi O. Ulnar Para-metacarpal Flap for Recurrence of Dupuytren’s Disease with Skin Ulcer: A Case Report. Journal of Orthopaedic Case Reports 2014 Oct-Dec;4(4): 60-63. Available from: http://www.jocr.co.in/wp/2014/10/21/2250-0685-229-fulltext/

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