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

Trovato, Matthew J.; Brooks, Darrell; Buntic, Rudolf F.; Buncke, Gregory M.

doi:10.1002/micr.20490

Cited by 23 publications

(22 citation statements)

References 20 publications

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“…32 In our practice, the AVF was also used to reconstruct two separate dorsal digital defects with a syndactylizing venous free flap simultaneously and achieved excellent functional and cosmetic result. 46 Avulsion injuries of the hand or degloving injuries of fingers are some of the most intractable clinical scenarios. This flap was applied to salvage the avulsed palmar tissue with good results.…”

Section: Clinical Applications and Complicationsmentioning

confidence: 99%

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: Clinical Applications and Complicationsmentioning

confidence: 99%

Arterialized venous flaps: A review of the literature

et al. 2010

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“…The development of microsurgery has greatly boosted the application of various free flaps and venous flaps for the repair of finger wounds, especially when pedicle flaps are unable to cover the large defect . Although the dorsalis pedis flap has been reported to resurface these wounds, producing large free flaps that are suitable for a single large wound on the hand . These free flaps are not the favorable options for coverage of multifinger soft tissue defect.…”

Section: Discussionmentioning

confidence: 99%

“…These free flaps are not the favorable options for coverage of multifinger soft tissue defect. They could only achieve a dorsally syndactylized digit after the primary procedure and required several division operations, each of which would involve high risks of flap necrosis …”

Section: Discussionmentioning

confidence: 99%

The free triple chimeric dorsalis pedis flaps for repair of multifinger soft tissue defects: A report of two cases

Xie¹,

Hu²,

Miao³

et al. 2013

Microsurgery

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The reconstruction of complex hand injury such as multifinger soft tissue defect remains a challenging problem. Two cases of repair of multifinger injury with exposed bones using the free chimeric flaps based on the dorsalis pedis vessels are presented. Two male patients, 46 years old and 36 years old, suffered from a thermocompression injury to the dorsum of fingers resulting in soft tissue defects of multiple fingers. The chimeric free flap was designed and applied to cover the defects. The donor sites were covered by skin grafts. The postoperative courses were uneventful. Both patients were followed up for 10-12 months. The maximal flexion angle of the distal interphalangeal, proximal interphalangeal, and metacarpophalangeal joints were 40°-85° at the end of the follow-up. The protective sensation was achieved on the dorsal fingers. The report suggests that the free chimeric flaps based on the dorsalis pedis artery may be an alternative for the reconstruction of the multifinger dorsal soft tissue defects.

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“…This technique provided an aesthetically pleasing result without syndactylizing the digits with a pedicled or free flap, or by using multiple local flaps, which would have left more scars on the injured hand (Borschel, 2009;Hyza et al, 2005;Karacaoglu and Gokce, 2008;Trovato et al, 2008;Ulrich and Pallua, 2009). …”

Section: Introductionmentioning

confidence: 99%

‘Front and Back’ Flaps for Multiple Dorsal and Palmar Digital Skin Loss

Senarath-Yapa

Bell

2010

J Hand Surg Eur Vol

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We describe a technique modification of the 'many tailed' flaps for multiple digital defects in adjacent digits described in 1980. This is a versatile technique for providing cover to multiple palmar and dorsal defects of the digits, avoiding the need to syndactylize digits, and when it is not desirable or adequate to perform multiple local flaps to cover the losses. The technical modifications are use of donor closure to adjust the position of the flaps in opposition, sequential donor closure to accurately place subsequent flaps, and raising flaps from less to more lax donor skin to avoid drift of donor site position.

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

Cited by 23 publications

References 20 publications

Arterialized venous flaps: A review of the literature

Arterialized venous flaps: A review of the literature

The free triple chimeric dorsalis pedis flaps for repair of multifinger soft tissue defects: A report of two cases

‘Front and Back’ Flaps for Multiple Dorsal and Palmar Digital Skin Loss

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