Venous free flaps for reconstruction of skin defects of the hand

Twenty-one cases of skin defects of the hand were treated with venous flaps. According to type, nine flaps were arterialised flaps (A-A), five were (A-V), and seven were (V-V) type. Venous flaps can be used up to 8 x 3 cm in size or even bigger if the number of veins anastomosed is increased. The main advantage of venous flaps is that they can also be used for simultaneous reconstruction of circulation in digits.