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Application of Concatenated Arterialized Venous Flaps in Finger Reconstruction

Lin, Yu-Te, MD, MS*; Loh, Charles Yuen Yung, MBBS, MSc, MS, MRCS

doi: 10.1097/SAP.0000000000001633
Microsurgery
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SDC

Venous flaps from the distal volar forearm are said to be suitable flaps for finger reconstruction. The pliability of the forearm venous flap makes it easy to follow the curvature of the finger contour. The thickness of the flap makes it appropriate as a flap for finger resurfacing. Following the venous network at the palmar forearm, diverse patterns of the venous flaps can be designed. This article describes the use of a 2-concatenated paddle, flow-through arterialized venous flap design for simultaneous resurfacing of 2 separate defects on a single digit. A technique that can be used to reduce postoperative venous congestion will be highlighted in this article.

From the *Department of Plastic Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan; and

St Andrew’s Center for Plastic and Reconstructive Surgery, Broomfield Hospital, Essex, United Kingdom.

Received May 19, 2018, and accepted for publication, after revision August 3, 2018.

Conflicts of interest and sources of funding: None declared.

Reprints: Yu-Te Lin, MD, MS, Department of Plastic Surgery, Chang Gung Memorial Hospital, 222 Mai-Chin Rd, Keelung City 204, Taiwan. E-mail: linutcgmh@gmail.com.

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