Finger Soft Tissue Reconstruction Using Arterialized Venous Free Flaps Having 2 Parallel Veins
Finger Soft Tissue Reconstruction Using Arterialized Venous Free Flaps Having 2 Parallel Veins
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DOI：
10.1016/j.jhsa.2008.08.001
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发表时间：
2008-12-01
影响因子：
1.9
通讯作者：
Lee, Sang Gil
中科院分区：
文献类型：
--
作者：
Kong, Byeong Seon;Kim, Yong Jin;Lee, Sang Gil
目的：以单一直静脉为轴的动脉化静脉游离瓣可能需要将出静脉或入静脉重定向，以吻合到手指血管。为了简化这些皮瓣，作者提出了一种具有2个平行静脉的动脉化静脉皮瓣，不需要静脉重定向。方法采用44个2个平行静脉的动脉化静脉游离皮瓣修复指端软组织缺损。平均覆盖面积为6.5 cm(2)。供区前臂远端35例，大鱼际区8例，足背1例。5例皮瓣完全坏死，28例皮瓣充血。结论2条平行静脉的动脉化静脉皮瓣效果满意。通过使用这些皮瓣，作者能够简化动脉化静脉皮瓣的技术。(《手外科杂志》2008；33A：1802-1806。(C)2008年，爱思唯尔公司代表美国手外科学会出版。)
Purpose Arterialized venous free flaps with a single straight venous axis may require redirection of either the efferent or affere vein for anastornosis to the digital vessels. To simplify these flaps, the authors propose use of an arterialized venous free flap having 2 parallel veins that does not require redirection of the veins.Methods The authors performed 44 arterialized venous free flaps having 2 parallel veins for the reconstruction of digital soft tissue defects. The mean area of coverage was 6.5 cm(2). The donor sites included the volar aspect of the distal forearm in 35 cases, the thenar area in 8 cases, and the dorsal aspect of the foot in 1 case.Results Thirty-nine of the 44 flaps survived. Complete flap necrosis occurred in 5 cases, and flap congestion was seen in 28 cases.Conclusions The authors had satisfactory results using arterialized venous free flaps having 2 parallel veins. By using these flaps, the authors were able to simplify the technique of arterialized venous flaps. (J Hand Surg 2008;33A: 1802-1806. (c) 2008 Published by Elsevier Inc. on behalf of the American Society for Surgery of the Hand.)