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Free arterialised venous forearm flaps for limb reconstruction
M Yilmaz1, A Menderes, O Karataş
1Department of Plastic and Reconstructive Surgery, Dokuz Eylül University, Izmir, Turkey.
British Journal of Plastic Surgery
|September 1, 1996
Summary
Arterialised venous forearm flaps offer a successful alternative for closing large extremity defects. This method uses the forearm
Area of Science:
- Plastic Surgery
- Regenerative Medicine
- Vascular Surgery
Background:
- Conventional flaps often involve major arteries, increasing donor site morbidity.
- Arterialised venous flaps, utilizing venous networks with arterial inflow, are typically for smaller defects.
Observation:
- A novel arterialised venous flap design using the forearm's venous network was applied to 5 patients.
- Defect sizes ranged from 6 x 8 cm to 10 x 12 cm.
Findings:
- Four out of five arterialised venous forearm flaps achieved complete survival.
- One flap experienced 30% partial necrosis, with overall successful clinical outcomes.
Implications:
- This technique provides a large, thin, high-quality tissue source with reduced donor site morbidity.
- It serves as a viable alternative to the radial forearm flap, preserving major hand arteries.