Reconstruction of High-Pressure Paint Gun Injection Injured Finger Using Free Flaps with T-Shaped Pedicles and Multiple Venous Anastomoses.
10.15596/ARMS.2015.24.2.75
- Author:
Jun Beom LEE
1
;
Hwan Jun CHOI
;
Jun Hyuk KIM
;
Nam Ju CHEON
;
Young Man LEE
Author Information
1. Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea. medi619@hanmail.net
- Publication Type:Case Report
- Keywords:
High pressure;
Paint;
Anastomosis;
Free flap
- MeSH:
Amputation;
Debridement;
Diagnosis;
Emergencies;
Fingers*;
Free Tissue Flaps*;
Paint*;
Prognosis;
Solvents;
Upper Extremity;
Veins
- From:Archives of Reconstructive Microsurgery
2015;24(2):75-78
- CountryRepublic of Korea
- Language:English
-
Abstract:
High-pressure (HP) injection injury to the upper extremity often causes a very serious clinical problem, leading to poor outcomes, including amputation, so that a true surgical emergency is required. The outcomes can be improved with emergent wide surgical debridement. However the diagnosis of these injuries is often delayed due to underestimated evaluation at first appearance and lack of common knowledge of the seriousness of this injury. The type and pressure of the infecting material is an important factor in prognosis and organic solvents infected pressure injury can cause poor outcome and increased amputation rate. In this case, we report on reconstruction of HP oilbased paint injection injuries of the finger using T-shaped pedicles and multiple venous anastomoses. In this concept, arterial flow can be maintained by the reverse flow of distal anastomosis when there is difficulty with the proximal anastomosis. And venous flow can be preserved by deep and superficial vein anastomosis. This concept has various advantages including preserving patency of the pedicle in chronic vasculopathy or trauma cases and maintaining the arterial flow by the reverse flow of distal anastomosis and can improve the free flap survival by a two vascular anastomosis system.
