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Versatility of Venous Flap for Coverage of Proximal and Middle Phalanges of Fingers

Davami, Babak MD*; Arasteh, Ehsan MD; Pourkhamene, Golnar MD

Techniques in Hand & Upper Extremity Surgery: March 2012 - Volume 16 - Issue 1 - p 23–26
doi: 10.1097/BTH.0b013e31822d5e1c
Techniques

Owing to paucity of soft tissue in the fingers, the trauma to fingers can cause exposure of tendons, joints, and bone. Several flaps have been used to cover soft tissue defects of the fingers. From 2007 to 2010, we have operated on 18 male patients with skin defects of dorsal phalanges of fingers. We used reverse distally based venous flap with perivenous tissue to cover the defects. Their mean age was 30.6±8.6 (15 to 40). The etiology in all cases was severe trauma. Ten had defect in dorsal aspect of proximal phalanges and in 8 the defect was in the middle phalanges. One of our patients experienced superficial necrosis at the distal margin of the flap that was successfully treated with local wound care and dressing changes. There was 1 case of venous congestion that resolved itself. There were no postoperative wound infections. There were no serious complications. The venous flap with preservation of perivenous areolar network is a good option for coverage of soft tissue defects of proximal and middle phalanges of fingers.

*Plastic Surgery Department, Tabriz Medical University

Sina Hospital, Tabriz, Iran

Shahid Beheshti University, Tehran, Iran

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Babak Davami, MD, Tabriz Medical University, Plastic Surgery Department, Sina Hospital, Azadi Street, Tabriz, Iran 51656. E-mail: babakdavami@yahoo.com.

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