PMC6691758_01
Preoperative view of the lesion and planning of bilobed flap.
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On physical examination, there was a 2 cm x 1.5 cm x 1 cm sized dome-shaped lesion located on distal half of the first metacarpal and metacarpophalangeal joint (MCPJ) (Figure 1). The second flap designed with an elliptical tip to facilitate closure of its resulting defect (Figure 1).
Postoperative view of reconstruction.
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The flaps then were transposed into the defects and sutured in place (Figure 2).