الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
• The First Dorsal Metacarpal Artery Island Flap is one of the most useful option for thumb fingertip & other injuries of the thumb at emergency or elective repair for many reasons; There is a constant and reliable anatomy with ease of dissection, A one-stage procedure provides neurovascular skin cover and it is possible to cover the entire dorsal or palmar aspect of the thumb. The flap can be combined with other flap to cover a complete degloving injury of the thumb. The flap provides sensation. With minimal complications may occur in comparisons to other available options.
• Comparing results of thumb coverage with FDMA flap were nearly equal in both groups of study
• Duplex localization of FDMA preoperatively is a simple, accurate and cheap method ,help in more safe flap dissection specially for young surgeons and difficult cases like children
• FDMA flap is a technique dependent not a tool dependent