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The saphenous venous flap.

R L Thatte1, M R Thatte

  • 1Department of Plastic and Reconstructive Surgery, Lokmanya Tilak Municipal General Hospital, Bombay, India.

British Journal of Plastic Surgery
|July 1, 1989
PubMed
Summary
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A new venous flap technique using the long saphenous vein effectively closed knee defects in seven of eight patients. This method offers a viable option for reconstructing adjacent soft tissue injuries.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Vascular Surgery

Background:

  • Soft tissue defects around the knee present reconstructive challenges.
  • Traditional methods may have limitations in coverage and viability.

Observation:

  • A novel single-pedicled venous flap, utilizing the long saphenous vein, was employed for defect closure around the knee.
  • Eight cases were analyzed, detailing flap indications, dimensions, and survival rates.

Findings:

  • Seven out of eight venous flaps successfully achieved their reconstructive aim.
  • Complete flap survival was observed in five cases, with two experiencing partial distal loss.
  • One flap experienced complete failure, indicating a success rate of 87.5% in this series.

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Implications:

  • This study confirms the viability of large fasciocutaneous island flaps with a single cephalad vein for adjacent defect coverage.
  • The long saphenous vein flap presents a promising reconstructive option for knee region defects.
  • Further research can explore optimizing flap design and patient selection for enhanced outcomes.