Department of Hand and Foot Surgery, Shandong Provincial Hospital affiliated to Shandong University, Jinan, China.
Department of Hand and Foot Surgery, Jinan Municipal Hospital of Traditional Chinese Medicine, Shandong, China.
J Hand Surg Eur Vol. 2019 Dec;44(10):1019-1025. doi: 10.1177/1753193419866413. Epub 2019 Aug 12.
Traditionally free vascularized flap transfers to the fingers connect to the proper digital artery and dorsal veins. We report our experience using the volar digital veins as recipient veins for free vascularized flap transfers in 14 fingers of 12 patients. One or two veins (three flaps with two veins, 11 flaps with one vein) of the flap were anastomosed to volar digital veins in the recipient site. The arteries of these flaps were connected to the proper digital arteries. All the transferred flaps survived. No vessel crisis occurred. Our patients demonstrated that volar veins can be the recipient veins for free flap transfers in the fingers without increased risk of venous crisis and flap loss. IV.
传统的游离血管皮瓣移植到手指时,会与适当的指动脉和背静脉相连。我们报告了我们的经验,即在 12 名患者的 14 个手指中,使用掌侧指静脉作为游离血管皮瓣移植的受体静脉。皮瓣的一条或两条静脉(三条皮瓣两条静脉,11 条皮瓣一条静脉)与受区的掌侧指静脉吻合。这些皮瓣的动脉与适当的指动脉相连。所有移植的皮瓣均存活。没有发生血管危象。我们的患者表明,掌侧静脉可以作为手指游离皮瓣移植的受体静脉,不会增加静脉危象和皮瓣丧失的风险。