gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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The clinical application of type I venous flap of volar forearm in complicated replantation of fingers

Meeting Abstract

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  • presenting/speaker Bin Zhu - Ningbo Sixth Hospital, Ningbo, China
  • Jian Zhang - Ningbo Sixth Hospital, Ningbo, China
  • Xin Wang - Ningbo Sixth Hospital, Ningbo, China
  • Hong Chen - Ningbo Sixth Hospital, Ningbo, China
  • Jiadong Pan - Ningbo Sixth Hospital, Ningbo, China
  • Miaozhong Li - Ningbo Sixth Hospital, Ningbo, China

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-965

doi: 10.3205/19ifssh0846, urn:nbn:de:0183-19ifssh08461

Veröffentlicht: 6. Februar 2020

© 2020 Zhu et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: To evaluate the clinical curative effect of the type I venous flap transplantation of volar forearm for complicated digital replantation.

Methods: From May 2009 to June 2016, 8 cases with 12 fingers who underwent digital replantation using type I venous flap of volar forearm for flow-through dorsal veins of finger and covering soft tissue defects, 5 cases were male, 3 female; age 22 to 58 years (mean age 34.3 years) of follow-up observation, observing the postoperative changes of blood supply of the venous flaps and digital replantation. The process of flap survival and contracture of survived flaps.

Results and Conclusions: 8 cases with 12 fingers of replantation were survived without venous crisis, but 2 cases with 3 fingers had arterial crisis. The color of the all venous flaps were reddish with capillary reflux slowly in 1 day after operation. Then superficial skin exfoliating and formatting blisters. Eventually the wound of flaps healing and the flaps survived completely with an average of 28.5 days after surgery (18-36 d). No venous reflux disorder, swelling and congestion of the flaps during the healing procedure. Flap survived without obvious contracture and did not affect the joint flexion.

The type I venous flap of volar forearm can simultaneously flow-through the dorsal veins of fingers and repair the wound. It is suitable for finger replantation with soft tissue defect of the dorsum of fingers and hand.