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Clinical application of the retrograde arterialized venous flap

✍ Scribed by Horst Koch; Erwin Scharnagl; Franz X. Schwarzl; Franz M. Haas; Martin Hubmer; Harald E.T. Moshammer

Publisher: John Wiley and Sons
Year: 2004
Tongue: English
Weight: 385 KB
Volume: 24
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.20011

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✦ Synopsis

Abstract

Retrograde arterialized venous flaps were applied to skin and soft‐tissue defects in 13 patients with an average age of 34.4 years. Ten defects were located on the hand, and three on the lower leg. All flaps were harvested from the flexor aspect of the forearm; they ranged in size from 2 × 1 to 11 × 7 cm. There was venous congestion with superficial epidermolysis in six flaps, but not in the other seven. Partial skin necrosis in two of the lower‐extremity flaps necessitated secondary skin grafts. Our results suggest that retrograde perfusion enhances blood flow in the periphery of arterialized venous flaps and gives good results in terms of flap survival, especially on the upper extremity. © 2004 Wiley‐Liss, Inc.

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