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Simultaneous coverage of two separate dorsal digital defects with a syndactylizing venous free flap

✍ Scribed by Matthew J. Trovato; Darrell Brooks; Rudolf F. Buntic; Gregory M. Buncke


Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
313 KB
Volume
28
Category
Article
ISSN
0738-1085

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✦ Synopsis


Abstract

We report a case of a 58‐year‐old patient who sustained multiple finger injuries on the right hand. After thorough debridement, two dorsal defects of the middle and ring fingers were covered simultaneously with a single arterialized venous free flap from the right forearm. The flap was used to create a dorsally syndactylized digit which survived completely and was subsequently divided longitudinally. With early flap division, excellent functional and cosmetic result was achieved. We consider the syndactylized venous free flap with early division as a useful option for simultaneous coverage of separate dorsal digital defects. © 2008 Wiley‐Liss, Inc. Microsurgery, 2008.