Influence of Recipient Vessels on Free Tissue Transplantation of the Extremities

Reconstruction of the plantar toe with a distal reverse instep sensory island flap

“…A distant flap can be bulky and unreliable (Akhtar et al, ). Free flaps are effective but carry a risk of thrombosis and require an experienced surgeon (Chaivanichsiri, ; Cho, Garcia, & Pien, ). Reverse dorsalis pedis flap texture and thickness are not the same as the plantar surface, so this flap is not suitable for coverage of the plantar surface of the great toe and the distal head of the first metatarsus (Ishikawa et al, ).…”

Successful reimplantation of multiple digits following bangstick injury

“…Experimentally, it has been shown that veins of small calibre are more prone to clotting than small arteries of the same size. 3,4,9,10,15,16 All three digits were revascularized with the hope that at least one of the digits would survive and would provide added domain for opposition and grip function of the patient's dominant right hand. The index finger, one of the digits with intraoperative thrombosis of the vein graft, clotted postoperatively and required re-exploration within 12 h after surgery.…”

Combined (endo-)vascular intervention and microsurgical lower extremity free flap reconstruction—A propensity score matching analysis in 5386 ACS-NSQIP patients

“…Prevention of vascular complications, which are dependent on the quality and availability of recipient vessels, is a crucial determinant of flap survival and success. 14,15 Compromised recipient vessels are more likely to be seen in patients with extensive trauma, peripheral vascular disease or prior radiation treatment. 16,17 In such patients with large tissue defects and compromised or lacking recipient vessels, combined vascular reconstruction with free tissue flap transfer is an option for lower extremity salvage and improvement of the vascularity of the whole extremity to prevent further complications.…”