The bilobed arterialized venous free flap for simultaneous coverage of 2 separate defects of a digit
Jazyk angličtina Země Spojené státy americké Médium print
Typ dokumentu kazuistiky, časopisecké články
PubMed
16327475
DOI
10.1097/01.sap.0000178806.37967.9f
PII: 00000637-200512000-00027
Knihovny.cz E-zdroje
- MeSH
- chirurgické laloky krevní zásobení MeSH
- debridement MeSH
- lidé MeSH
- mikrochirurgie MeSH
- mladiství MeSH
- poranění prstů ruky chirurgie MeSH
- zákroky plastické chirurgie MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
We report a case of a 17-year-old patient who sustained multiple finger contusions on the left hand. After thorough debridement, the volar and dorsal defects of the middle finger were covered simultaneously with bilobed arterialized venous free flap from the left forearm. The flap was composed of 2 paddles, which were connected by a subcutaneous bridge containing a subcutaneous venous network. The subdermal plexus in the bridge was interrupted with no impairment of blood supply to the second cutaneous paddle. The flap survived completely with only temporary mild venous congestion. Excellent functional and cosmetic result was reached. We consider bilobed arterialized venous free flap as a useful option for coverage of concomitant volar and dorsal digital defects.
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