[ distal pedicled dorsal metacarpal flap, about 30 cases]

The distal pedicled dorsal metacarpal flap based on a retrograde bloody supply harvested from the dorsum of the hand, its vascularisation is provided by proximal dorsal cutaneous branches of the digital collateral arteries through the rich anastomotic arterial network of the web space. This flap is useful in reconstructing defects on the dorsal and palmed aspect of the digits. The authors present 30 clinical cases to describe the anatomical basis, the operatory techniques, the advantages and inconvenients of this new flap

[Bicycle spoke injuries about 30 cases]

This study reports the author's 5 year experience with treating lower extremity injuries in bicycle passengers caused by the spokes. A total of 30 patients were treated during the study. Patiets ranged from 2 to 15 years old with a mean age of 6 years. The authors treated more female passengers then male passengers. The right foot was involved mote often then was the left. The achilles tendon was the most common site of injury [50 percent], wounds was classified in 4 stages. The defects exposure achille tendon was covered with distally based sural flap in 6 reports, 3 patients required skin grafting. Since the first report of bicycle spoke injuries a half century ago, prevention has not improved