Free arterialised venous forearm flaps for limb reconstruction

Yılmaz, Mustafa; Menderes, Adnan; Karataş, Özlem; Karaça, Can

doi:10.1016/s0007-1226(96)90009-0

Cited by 28 publications

(21 citation statements)

References 28 publications

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“…[3][4][5][6][7][9][10][11][12][13][14][15][16]20,23,[30][31][32][33][34][35][36][37][38][39][40] Woo et al 16 presented three perfusion patterns in their series, including antegrade, retrograde, and mixed perfu-…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…8,16,21,24 Because of the unfavorable outcomes using type I and type II venous flaps, 8,23,[25][26][27][28][29] clinical reports have been mostly focused on type III venous flaps, which are considered the most reliable of these three types. [3][4][5][6][7][9][10][11][12][13][14][15][16]20,23,[30][31][32][33][34][35][36][37][38][39][40] Even so, there continues to be problematic with type III venous flaps limiting their widespread acceptance. A greater understanding of venous flaps through a review of the literature is difficult, given that most series are small and their approach to venous flap transplantation varied making results and conclusions difficult to correlate between studies.…”

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confidence: 99%

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Arterialized venous flaps: A review of the literature

et al. 2010

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The arterialized venous flaps are highly regarded in microsurgical and reconstructive surgeries based on advantages of ease of design and harvest without the need to perform deep dissection, no sacrifice of a major artery at the donor site, no limitation of the donor sites, and less donor-site morbidity. Many experimental investigations and clinical applications have been reported. However, their survivals are still inconsistent, and survival mechanisms remain controversial. In this review, we update the existing problems, experimental studies for survival mechanisms, clinical practices, and methods developed to improve their survivals.

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Section: Surgical Techniquesmentioning

confidence: 99%

mentioning

confidence: 99%

Arterialized venous flaps: A review of the literature

et al. 2010

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“…17,18 Partial necrosis has been reported in larger arterialized flaps, the largest of which measured 10 3 12 cm 2 with 70% survival in one case report. 8 By the third postoperative month, the flaps provided appropriate skin quality, with excellent color match and optimal contour. The patient was satisfied with the aesthetic appearance.…”

Section: Discussionmentioning

confidence: 98%

“…5,6 Plantar and lower-limb defect and intraoral reconstruction have also been described. 7,8 In 1991, Chen et al 9 classified venous flaps into four types according to their recipient vessels which enter and leave the flap. 9 Since that time, various schema have been proposed for describing venous flaps based upon the intravenous valve arrangement or inflow and outflow vessel arrangement.…”

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confidence: 99%

Simultaneous coverage of two separate dorsal digital defects with a syndactylizing venous free flap

Trovato¹,

Brooks²,

Buntic³

et al. 2008

Microsurgery

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We report a case of a 58-year-old patient who sustained multiple finger injuries on the right hand. After thorough debridement, two dorsal defects of the middle and ring fingers were covered simultaneously with a single arterialized venous free flap from the right forearm. The flap was used to create a dorsally syndactylized digit which survived completely and was subsequently divided longitudinally. With early flap division, excellent functional and cosmetic result was achieved. We consider the syndactylized venous free flap with early division as a useful option for simultaneous coverage of separate dorsal digital defects.

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“…2,3 One main problem that has arisen with the use of AVFs is the high rate of peripheral necrosis resulting in prolonged healing time and the necessitation of secondary procedures. 11,12,24,25 Several techniques have been attempted clinically to increase the survival of these flaps. This includes prearterialization as reported by Wungcharoen et al 15 in 2001.…”

Section: Discussionmentioning

confidence: 99%

A novel rabbit model for the evaluation of retrograde flow venous flaps

2009

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Venous flaps have several potential advantages over traditional flaps, but their uses have been limited by unpredictable survival. Although clinical and experimental studies have concentrated mainly on the antegrade arterialization of venous flaps to increase survival, retrogradely arterialized venous flaps (AVFs) may have the greatest potential. There is, however, little literature on their use. There are also no animal studies comparing their survival to other venous flaps used in a similar situation. Our aim was to design a flap utilizing the rabbit's valved, thoracoepigastric vein (consisting of the lateral thoracic and epigastric veins) as the source vessel for the study of retrograde arterialized venous flaps (RAVFs). A pilot study (n = 10) to determine the survival of RAVFs was performed utilizing this animal model. Four flaps had complete survival at the end of our 2-week observational period. However, we also had four partial flap losses and two cases in which the entire flap was lost. An average survival area of 44.5% was observed. In conclusion, our designed rabbit thoracoepigastric RAVF is simple to apply and easily reproducible. It is the first animal flap adapted specifically for the study of RAVFs, and may be used for the further investigation of these flaps, which have shown unpredictable survival to date.

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Free arterialised venous forearm flaps for limb reconstruction

Cited by 28 publications

References 28 publications

Arterialized venous flaps: A review of the literature

Arterialized venous flaps: A review of the literature

Simultaneous coverage of two separate dorsal digital defects with a syndactylizing venous free flap

A novel rabbit model for the evaluation of retrograde flow venous flaps

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