Venous flaps for coverage of traumatic soft tissue defects of the hand: a systematic review

Wharton, Rupert; Creasy, Henrietta; Bain, Charles J.; James, Matthew; A, Fox

doi:10.1177/1753193417712879

Cited by 17 publications

(11 citation statements)

References 30 publications

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“…Further application in this field extends to nail bed free flaps using partial or complete toenail flaps to reconstruct the fingernails . Other thin flaps can be applied to reconstruct the finger which is often flaps with short pedicles such as posterior interosseous artery perforator flaps or the arterialized venous flaps . Personal experience with using these very small flaps after cancer resection of digit when the partial bone structure is intact, it allowed to salvage the finger with reasonable function and contour with a single‐stage approach .…”

Section: The Applicationsmentioning

confidence: 99%

Supermicrosurgery: Principles and applications

Hong

Song

Suh

2018

Journal of Surgical Oncology

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Supermicrosurgery is defined as microsurgery in less than 0.8 mm vessels. It is an evolved form of microsurgery but with the same principle: (1) enhanced working environment including microscopes and finer instruments; (2) detailed preoperative evaluation and planning; (3) supermicrosurgical technique; and (4) postoperative care.Supermicrosurgery now provides reconstructive solutions to address lymphedema, distal finger amputations, allows minimal invasive reconstruction using a perforator to perforator approach, and will eventually allow targeted customized reconstruction.application of supermicrosurgery, lymphedema, oncologic reconstruction, perforator to perforator supermicrosurgery, supermicrosurgery

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Section: The Applicationsmentioning

confidence: 99%

Supermicrosurgery: Principles and applications

Hong

Song

Suh

2018

Journal of Surgical Oncology

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“…As a last resort, the harvest and use of spare parts from amputated segments can be used for wound closure and restoration of function . These options have been described in the literature at length and are outside the scope this review . In general, the reconstructive ladder (Figure ) should be followed, as the ladder accommodates not only the wound type but also the surgeon's skill level and available resources.…”

Section: Surgical Reconstruction Following Tumor Resectionmentioning

confidence: 99%

“…85,86 These options have been described in the literature at length and are outside the scope this review. 60,[87][88][89][90][91][92][93] In general, the reconstructive ladder ( Figure 1) should be followed, as the ladder accommodates not only the wound type but also the surgeon's skill level and available resources.…”

Section: Soft-tissue Coveragementioning

confidence: 99%

Primary tumors of the hand: Functional and restorative management

Bowen

Landau

Badash

et al. 2018

Journal of Surgical Oncology

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Primary malignant tumors of the hand are rare. Most cases present to clinics unaffiliated with cancer centers, making it incumbent on all hand surgeons to understand the pathology indicative of malignancy and the proper course of treatment of hand neoplasms. In this review, we report, based on tumor type, the anatomical considerations, proper management, staging, surgical approaches, reconstructive considerations, and long‐term surveillance of primary malignant tumors of the hand.

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“…Due to the obvious limitations of pedicled aps: Bulk, colour, texture mismatch, donor morbidity, free aps have been recognized as the best reconstructive option of small digital defects. [1][2][3] Various small free aps can be harvested from thenar, forearm (including arterialised venous ap), groin, partial toe and plantar of foot to reconstruct small digital defects in clinic, [4][5][6][7][8][9] while there is not golden donor site for digital defects reconstruction using the small free ap.…”

Section: Introductionmentioning

confidence: 99%

The Free Flap Based on a Single Proximal Perforator of Radial Artery: the Ultrasonography Study and Clinical Applications in Reconstruction of Digital Defect

Wu¹,

Zhang²,

Zhang³

et al. 2020

Preprint

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Objectives: To locate the anastomosable constant perforator of radial artery on the proximal forarm using ultrasonography, and describe the application of free radial artery flap based on a single proximal perforator in the reconstruction of digital soft tissue defects.Methods: In 20 forarms (10 right and 10 left) from 10 volunteers, the perforators in the proximal half of forarm from radial artery were visualized by ultrasonography. Then the free radial artery perforator flaps based on the single perforator were used for reconstruction of small digital soft tissue defects in 4 cases between October 2017 and May 2018.Results: Of the 20 forarms, anastomosable perforator was constantly detected from the radial artery in the proximal half of forarm. The diameter of the perforator was 0.7±0.1 mm, the pedicle length is 12±3 mm by ultrasonography. Ther location of the perforator is far from elbow crease 8.8±1.4 cm, and the relative distance of the perforator location from elbow crease to wrist crease is 37.2% ± 4.8%. In clinical cases, all the flaps were complete survival. Flap size ranged from 3.5 to 6.5 cm in length and 2.3 to 3.0 cm in width. Donor sites of forearm were closed primarily in all cases. During a mean period of 12 months (8-14 months) follow-up, the mean Brief Michigan Hand Questionnaire (BMHQ) score was 72.9 (60.4-85.4) in the affected hand.Conclusions: There is an anastomosable perforator consistent located on the radial artery in the proximal half of forarm. The free radial artery small flap based on this single perforator provides acceptable functional and cosmetic outcomes for the reconsturction of digital soft tissue defects . With the preservation of the main vessel (radial artery) of forearm, this flap provides another reliable option for handsurgery surgeon to reconstruct small digital defects.

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Venous flaps for coverage of traumatic soft tissue defects of the hand: a systematic review

Abstract: II.

Cited by 17 publications

References 30 publications

Supermicrosurgery: Principles and applications

Supermicrosurgery: Principles and applications

Primary tumors of the hand: Functional and restorative management

The Free Flap Based on a Single Proximal Perforator of Radial Artery: the Ultrasonography Study and Clinical Applications in Reconstruction of Digital Defect

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