DOUBLE PADDLE FIRST DORSAL METACARPAL ARTERY FLAP FOR RECONSTRUCTION OF FIRST WEB SPACE DEFECTS

Objective: The rst dorsal metacarpal artery (FDMA) ap is an axial ap, based on the First Dorsal Metacarpal Artery (a branch of Radial artery) and its terminal dorsal digital branches. It is harvested from the dorsum of hand, index nger, and thumb. The objective of this study was to use Double paddled FDMA (a modication of conventional FDMA) for the coverage of rst web space defects. Patients and Methods: This is a retrospective analysis of usage of FDMA ap for defects over 1st web space. Study was done from May 2022 to 2023 among 7 patients with defects over 1st web space. Spilt skin grafting was done to cover the donor site defect in all cases. Conclusion: The FDMA ap is a versatile ap to cover defects over 1st webspace, dorsal aspect and to certain aspect volar aspects of thumb. This ap is sensate, durable and provides adequate soft tissue coverage.