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Using Free Arterialized Venous Flaps for Reconstructing Hand Defects
Miriam Alonso-Carpio1,2,3,4,5,6, Alberto Pérez-García1,2,3,4,5,6, Alessandro Thione1,2,3,4,5,6
1Miriam Alonso-Carpio, MD, is a plastic surgeon at Plastic Surgery and Microsurgery, University and Polytechnic Hospital La Fe, Valencia, Spain.
Abstract:
Hand and digit soft tissue defects are quite common and frequently require specialized reconstruction. When local flaps cannot be used to reconstruct a soft tissue defect, free flaps must be utilized. To overcome tissue volume and discrepancies in vessel diameter, arterialized venous free flaps from the forearm may provide an acceptable alternative. When using arterialized venous free flaps, surgeons should implement shunt restriction procedures to enhance flap viability.
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