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Engineered Vascularized Muscle Flap
Published on: January 11, 2016
Finger soft tissue reconstruction using arterialized venous free flaps having 2 parallel veins.
Byeong Seon Kong1, Yong Jin Kim, Young Suk Suh
1Hand and Microsurgery Center, Busan Centum Hospital, Busan, Republic of Korea. gongja2000@yahoo.co.kr
The Journal of Hand Surgery
|December 17, 2008
Summary
This study introduces a simplified arterialized venous free flap technique using two parallel veins for digital reconstruction. This method avoids vein redirection, improving surgical efficiency and achieving satisfactory flap survival rates.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Arterialized venous free flaps are crucial for soft tissue reconstruction.
- Single venous axis flaps often necessitate complex vein redirection for anastomosis.
- Simplifying flap techniques is essential for improving surgical outcomes.
Purpose of the Study:
- To introduce a novel arterialized venous free flap design with two parallel veins.
- To eliminate the need for vein redirection in arterialized venous free flaps.
- To simplify the surgical technique for digital soft tissue defect reconstruction.
Main Methods:
- Forty-four arterialized venous free flaps with two parallel veins were performed.
- Reconstruction focused on digital soft tissue defects.
- Donor sites included the forearm, thenar area, and foot.
Main Results:
- A high flap survival rate of 39 out of 44 flaps was achieved.
- Complete flap necrosis occurred in 5 cases.
- Flap congestion was observed in 28 cases, indicating a need for further optimization.
Conclusions:
- Arterialized venous free flaps with two parallel veins yield satisfactory results.
- This technique simplifies the overall procedure for arterialized venous flaps.
- The simplified approach enhances the feasibility of digital reconstruction using these flaps.
