A-A Type, Arterialized, Venous, Flow-Through, Free Flap for Simultaneous Digital Revascularization and Soft Tissue Reconstruction???Revisited
| Autor: | D L Chester, O G Titley, A J Park |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Microsurgery
medicine.medical_specialty Soft Tissue Injuries business.industry medicine.medical_treatment Soft tissue Free flap Middle Aged Revascularization Surgical Flaps Numerical digit Surgery medicine.anatomical_structure Soft tissue reconstruction Finger Injuries medicine Humans Female Vein business Perfusion |
| Zdroj: | Annals of Plastic Surgery. 53:185-191 |
| ISSN: | 0148-7043 |
| DOI: | 10.1097/01.sap.0000095411.74375.cc |
| Popis: | Significant soft tissue injuries to palmar surfaces are frequently associated with digital vessel damage. Flap coverage might have to be combined with microsurgical revascularization using vein grafts if the digit is to be salvaged. Two cases of simultaneous digital revascularization and soft tissue reconstruction using an arterialized, venous flow-through flap are presented in detail. These flaps initially "pinked up" for 24 to 48 hours. This was followed by a period of venous congestion lasting approximately 1 week, after which flap perfusion gradually returned to normal. Good long-term functional and cosmetic results were achieved. Distal finger perfusion was maintained in both cases. This technique, although previously described, has not been popularized. It should be considered early in reconstruction of ischemic digits requiring simultaneous vascular and soft tissue reconstruction. |
| Databáze: | OpenAIRE |
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