Transversely designed dorsal metacarpal V-Y advancement flaps for dorsal hand reconstruction

Five successful cases of transversely designed dorsal metacarpal V-Y advancement flaps for reconstructing defects on the dorsum of the hand are reported. The flaps were supplied by dorsal metacarpal vessels. Proximally based flaps were used in 2 cases, one of which was supplied by two dorsal metacarpal arteries. Distally based flaps were used in 3 cases. All flaps survived completely.