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J Reconstr Microsurg 2004; 20(5): 367-372
DOI: 10.1055/s-2004-830000
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Free “Kite” Flap: A New Flap for Reconstruction of Small Hand Defects

Michael Pelzer1 , Michael Sauerbier1 , Günter Germann1 , Markus Tränkle1
  • 1Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG, Trauma Center, University of Heidelberg, Germany
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Publication History

Accepted: 5 March 2004

Publication Date:
06 July 2004 (online)

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Small, thin, and pliable flaps are frequently required in hand surgery to reconstruct defects in functionally important areas such as the pulp or the “contact zones” of the digits. The innervated first metacarpal artery flap (“kite” flap) is a reliable procedure to restore sensibility in the thumb and the digits. Four microsurgical (free) kite flaps to the hand were performed between February, 1993 and August, 1999 in male patients. Follow-up examinations were performed in three patients. The static two-point discrimination in the kite flaps ranged from 8 to 15 mm and did not show any difference compared to flaps from the foot described in the literature. Semmes-Weinstein testing results ranged from normal to protective sensation with a normal sharp vs. dull discrimination. A free kite flap provides a valuable, safe alternative to venous flaps or other free flaps for reconstruction of small defects in the hand

KEYWORDS

Kite flap - pulp - digit

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Michael PelzerM.D. 

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG, Trauma Center, University of Heidelberg

Ludwig Guttmann Str. 13, 67071 Ludwigshafen, Germany