Application of venous flaps in replantation of complex severed fingers
LIU Wenjian1, YANG Liwen1, WANG Wenlong1, RAO Wenbing1, CHEN Yusheng1, WEI Huayong1, LIU Sen2
1.Department of Burns,Plastic and Hand Surgery,Jiangxi Provincial Corps Hospital of Chinese People’s Armed Police Force, Nanchang 330030, China; 2.The Inner Mongolia Autonomous Region Corps Hospital of Chinese People’s Armed Police Force, Hohhot 010040, China;
Abstract：Objective To investigate the applicability and clinical effect of venous flaps in treating complex severed fingers.Methods Sixteen cases of complicated severed fingers were replanted. The routine replantation of these severed fingers was performed. The palmar and dorsal skin defects were repaired with forearm palmar vein flaps and vascular defects were repaired at the same time.Results Fifteen cases of severed fingers and venous flaps survived, three of which had partial necrosis of venous flaps but healed after dressing change or skin grafting. There was one case of venous crisis that resulted in a severed finger and flap necrosis. In three cases, only the remaining severed finger and venous flaps survived. Sixteen cases were followed up for 3 to 23 months. During the last follow-up, the flaps were not bloated and had good texture.Conclusions Venous flaps can reconstruct the blood supply of severed fingers while repairing the wound. The flaps are easy to cut, and there is less damage to the donor site. This is a feasible and effective method for the replantation of complicated fingers with vascular and skin defects.
2018, Vol. 29 
