Venous flaps in digital revascularization and replantation

T. M. Tsai, J. D. Matiko, Warren C Breidenbach, J. E. Kutz

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

This is a report on 15 patients who underwent replantation/revascularization of a single digit with a substantial dorsal soft tissue defect. The dorsal defect was covered with a venous flap, a free flap that has only venous inflow and outflow. Postoperatively, the venous flaps were warm, pink, and appeared to exhibit a blanch and refill phenomenon, clinically resembling capillary filling. The flaps from the dorsal aspect of an uninjured digit had a survival rate of 100 percent, with no partial necrosis, while the flaps from a forearm or dorsal foot donor site failed. The advantages of using venous flaps are twofold. Not only does this technique provide for venous drainage, but it also provides flap coverage and avoids complications, such as vessel occlusion or hematoma formation, associated with skin grafting over a venous anastomosis, with subsequent loss of the skin graft.

Original languageEnglish (US)
Pages (from-to)113-119
Number of pages7
JournalJournal of Reconstructive Microsurgery
Volume3
Issue number2
StatePublished - 1987
Externally publishedYes

Fingerprint

Skin Transplantation
Free Tissue Flaps
Replantation
Forearm
Hematoma
Foot
Drainage
Necrosis
Survival Rate
Tissue Donors
Transplants
Skin

ASJC Scopus subject areas

  • Surgery

Cite this

Venous flaps in digital revascularization and replantation. / Tsai, T. M.; Matiko, J. D.; Breidenbach, Warren C; Kutz, J. E.

In: Journal of Reconstructive Microsurgery, Vol. 3, No. 2, 1987, p. 113-119.

Research output: Contribution to journalArticle

Tsai, T. M. ; Matiko, J. D. ; Breidenbach, Warren C ; Kutz, J. E. / Venous flaps in digital revascularization and replantation. In: Journal of Reconstructive Microsurgery. 1987 ; Vol. 3, No. 2. pp. 113-119.
@article{00a71f07b21a490eb701bc4102561b21,
title = "Venous flaps in digital revascularization and replantation",
abstract = "This is a report on 15 patients who underwent replantation/revascularization of a single digit with a substantial dorsal soft tissue defect. The dorsal defect was covered with a venous flap, a free flap that has only venous inflow and outflow. Postoperatively, the venous flaps were warm, pink, and appeared to exhibit a blanch and refill phenomenon, clinically resembling capillary filling. The flaps from the dorsal aspect of an uninjured digit had a survival rate of 100 percent, with no partial necrosis, while the flaps from a forearm or dorsal foot donor site failed. The advantages of using venous flaps are twofold. Not only does this technique provide for venous drainage, but it also provides flap coverage and avoids complications, such as vessel occlusion or hematoma formation, associated with skin grafting over a venous anastomosis, with subsequent loss of the skin graft.",
author = "Tsai, {T. M.} and Matiko, {J. D.} and Breidenbach, {Warren C} and Kutz, {J. E.}",
year = "1987",
language = "English (US)",
volume = "3",
pages = "113--119",
journal = "Journal of Reconstructive Microsurgery",
issn = "0743-684X",
publisher = "Thieme Medical Publishers",
number = "2",

}

TY - JOUR

T1 - Venous flaps in digital revascularization and replantation

AU - Tsai, T. M.

AU - Matiko, J. D.

AU - Breidenbach, Warren C

AU - Kutz, J. E.

PY - 1987

Y1 - 1987

N2 - This is a report on 15 patients who underwent replantation/revascularization of a single digit with a substantial dorsal soft tissue defect. The dorsal defect was covered with a venous flap, a free flap that has only venous inflow and outflow. Postoperatively, the venous flaps were warm, pink, and appeared to exhibit a blanch and refill phenomenon, clinically resembling capillary filling. The flaps from the dorsal aspect of an uninjured digit had a survival rate of 100 percent, with no partial necrosis, while the flaps from a forearm or dorsal foot donor site failed. The advantages of using venous flaps are twofold. Not only does this technique provide for venous drainage, but it also provides flap coverage and avoids complications, such as vessel occlusion or hematoma formation, associated with skin grafting over a venous anastomosis, with subsequent loss of the skin graft.

AB - This is a report on 15 patients who underwent replantation/revascularization of a single digit with a substantial dorsal soft tissue defect. The dorsal defect was covered with a venous flap, a free flap that has only venous inflow and outflow. Postoperatively, the venous flaps were warm, pink, and appeared to exhibit a blanch and refill phenomenon, clinically resembling capillary filling. The flaps from the dorsal aspect of an uninjured digit had a survival rate of 100 percent, with no partial necrosis, while the flaps from a forearm or dorsal foot donor site failed. The advantages of using venous flaps are twofold. Not only does this technique provide for venous drainage, but it also provides flap coverage and avoids complications, such as vessel occlusion or hematoma formation, associated with skin grafting over a venous anastomosis, with subsequent loss of the skin graft.

UR - http://www.scopus.com/inward/record.url?scp=0023147174&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023147174&partnerID=8YFLogxK

M3 - Article

C2 - 3560036

AN - SCOPUS:0023147174

VL - 3

SP - 113

EP - 119

JO - Journal of Reconstructive Microsurgery

JF - Journal of Reconstructive Microsurgery

SN - 0743-684X

IS - 2

ER -