Clinical application of a large flow-through venous flap
10.3760/cma.j.issn.1009-4598.2016.04.003
- VernacularTitle:大型血流贯通式静脉皮瓣的临床应用
- Author:
Dawei ZHENG
1
;
Zhangcan LI
;
Guangchao CAO
;
Yao WU
;
Rongjian SHI
;
Kuishui SHOU
Author Information
1. 221004,徐州仁慈医院手足显微外科
- Keywords:
Venous skin flap;
Soft tissue injuries;
Upper extremity
- From:
Chinese Journal of Plastic Surgery
2016;32(4):249-253
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of a large flow-through venous flap.Methods Between January 2012 and January 2015,this flap was used in 9 patients with upper limb injury to reconstruct artery defect and large skin and soft tissue defect.The donor sites were covered with free skin grafts.The skin and soft tissue defects size ranged from 7.0 cm × 10.0 cm to 9.5 cm × 18.0 cm (average 9.2 cm× 12.0 cm).Results The flaps size ranged from 9.0 cm × 12.0 cm-11.5 cm × 20.0 cm (average 10.3 cm × 13.5 cm).Except 2 cases of small area necrosis occurred in the distal end of the flap,which healed after dressing change;the other 7 flaps survived completely.The donor wounds healed primarily.Postoperative patients were followed up for 12-26 months (mean 14.5 months).Flap appearance,texture and thickness were similar to the surrounding normal tissue.According to the sensory function evaluation standard formulated by the British Medical Research Council in 1954,the result of skin flap sensory evaluation was assessed as S2 in two cases,S3 in four cases,S3 in three cases,with excellent and good rate as 77.8％.According to the assessment standard for upper limb function issued by Chinese Medical Association of hand surgery,the limb function were assessed as excellent in 6 cases,good in 2 cases,poor in 1 case,with the excellent and good rate as 88.9％.Conclusions The large flowthrough venous flap has the advantages of simple operation,minimal donor site morbidity and satisfactory appearance.It is a feasible method to repair the wound at upper limb with artery defect.
