Arch Reconstr Microsurg.  2015 Nov;24(2):79-81. 10.15596/ARMS.2015.24.2.79.

Using the Dorsal Metacarpal Artery Perforator Flap for Reconstruction of Rheumatoid Ulcers

• Choi M
• Son KM
• Choi WY
• Cheon JS
• Yang JY

• KMID: 2130578
• DOI: http://doi.org/10.15596/ARMS.2015.24.2.79

Abstract

Rheumatoid arthritis is a long lasting autoimmune disorder that primarily affects joints, and patients with rheumatoid arthritis are predisposed to development of chronic skin ulcers. In addition, skin ulcers with rheumatoid arthritis tend to persist despite treatment because of sustained inflammation and poor healing capacity. Treatment of skin ulcers involves medications, wound coating agents, and surgical procedures including skin grafting, however, wound dressing or skin grafts are generally excluded because of excessive cost and time and poor intake rate. The dorsal metacarpal artery perforator (DMAP) flap, a vascular island flap for coverage of soft tissue defects on the fingers, provides promising results including matched quality and color. We experienced a case of DMAP flap for reconstruction of a rheumatoid ulcer, and a DMAP flap may be considered as a good faithful option for treatment of patients with rheumatoid ulcer.

Keyword

Dorsal metacarpal artery perforator flap; Rheumatoid ulcer

MeSH Terms

Arteries*
Arthritis, Rheumatoid
Bandages
Fingers
Humans
Inflammation
Joints
Perforator Flap*
Skin
Skin Transplantation
Skin Ulcer
Transplants
Ulcer*
Wounds and Injuries