Use of a Sequential Two-in-One Free Arterialised Venous Flap for the Simultaneous Reconstruction of Two Separate Defects on the Foot
Resource
BRITISH JOURNAL OF PLASTIC SURGERY v.57 n.7 pp.685~688
Journal
BRITISH JOURNAL OF PLASTIC SURGERY
Journal Volume
v.57
Journal Issue
n.7
Pages
685-688
Date Issued
2004
Date
2004
Author(s)
CHENG, TAI-JU
CHEN, YUAN-SEN
TANG, YUEH-BIH
Abstract
A sequential free arterialised venous flap carrying two flaps nourished by a single venous pedicle was designed for the simultaneous reconstruction of two separate soft tissue defects on the dorso-medial aspect of the foot. These two defects were separated by approximately 3.5 cm, exposing the extensor hallucis longus tendon and first tarso- metatarsal joint. Superficial epidermolysis was noted postoperatively in the smaller flap. Nonetheless, flap survival was uneventful with no further surgery required, and the patient was discharged 7 days after surgery. Three months after the surgery, the patient was satisfied with the result and no morbidity was evident at the donor site. The sequential flap is not a new flap category, but we are unaware of any previous report of a free arterialised venous flap in the form of a sequential flap. We demonstrate the clinical value of this type of flap design for selected cases. The benefits and possible pitfalls of the sequential free arterialised venous flap are discussed. (C) 2004 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.
Subjects
sequential venous flap
arterialised venous flap
simultaneous reconstruction
Type
journal article