Flap Coverage of Dysvascular Digits Including Venous Flow-Through Flaps

Hand Clin. 2019 May;35(2):185-197. doi: 10.1016/j.hcl.2019.01.001. Epub 2019 Feb 18.

Abstract

A dysvascular digit is defined as a threatened circulatory condition of a digit caused owing to multiple reasons, such as medical illness or trauma. A dysvascular digit always needs surgical manipulation of the vessel in trauma cases. The revascularization of the digit is a priority in such conditions, after which reconstruction of the defect is performed. In this article, the authors present and discuss the venous free flap, thenar free flap, toe plantar free flap, free style perforator flap, hypothenar free flap, and anconeus muscle free flap.

Keywords: Dysvascular digit; Immediate free flap; Perforator flap; Replantation; Thenar free flap; Venous free flap.

Publication types

  • Review

MeSH terms

  • Amputation, Traumatic / surgery
  • Anastomosis, Surgical
  • Finger Injuries / surgery*
  • Fingers / blood supply*
  • Fingers / surgery
  • Humans
  • Radial Artery / transplantation
  • Replantation
  • Surgical Flaps / blood supply*
  • Toes / blood supply
  • Vascular Patency