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Journal of the Korean Society for Surgery of the Hand 2000;5(1):76-82.
Published online January 1, 2000.
Arterialized venous flaps for treating the volar soft tissue defects of fingers
Jeong Weon Yoo, Jong Han Cho, Dong Jin Kim, Sang Min Lee, Min Gu Kang
동맥화된 정맥 유리 피판을 이용한 수지 장측 연부 조직의 재건
유정원, 조종한, 김동진, 강민구, 이상민
Abstract
Traumatic or thermal injury to the hand often leads to soft tissue defects with exposed tendons, bones, nerves or joints. Therapeutic options for reconstruction of the defects includes local flaps, distant flaps, reverse digital arterial island flap, and free flap transfer. In each case, however there are significant drawbacks limiting clinical application to the treatment of injury. Arterialized venous free flaps were first tried experimentally by Nakayama in 1981 and clinically used to treat the soft tissue defects of hand by Yoshimura in 1987. From April 1998 to September 1999, authors had treated 5 patients having soft tissue defect of volar surface of fingers using two differentially designed arterialized venous free flaps from forearm. The size of flaps ranged from 2 x 2.5cm to 5 x 3cm. Four flaps survived completely, and the other one flap underwent 30% necrosis but we obtained satisfactory results functionally and aesthetically. We conclude this operative method is estimated to have several advantages for the defects of fingers which have over the width of 3cm and relatively long length because of same operative field, thinness of flap and not sacrificing named artery.
 


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