Chinese Journal Of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (4): 430-432.doi: 10.13418/j.issn.1001-165x.2018.04.016

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The clinical application of prefabricated-decompression arterialized vein flap

LI Zheng, ZHANG Zhen-wei, YU Shao-xiao, KE Yu-hai, XIONG Yi, LIN Hui-xin, CHEN Wen-feng   

  1. Department of Hand Surgery, Shenzhen Bao’an District Shajing People’s Hospital, Shenzhen   518104, Guangdong Province, China
  • Received:2018-06-23 Online:2018-07-25 Published:2018-08-21

Abstract:

Objective To investigate clinical effects of prefabricated-decompression arterialized vein flap.   Methods From January 2016 to May 2017, 24 cases of soft tissue defects of fingers and thumbs were repaired with the prefabricated-decompression arterialized vein flap. The flaps ranged from 2.0cm×2.0 cm to 6.0 cm × 4.0 cm. The perfusion volume of the flaps was measured by the laser flash spot doppler blood flow imaging instrument.   Results   24 flaps survived completely, only 1 flap suffered partial margin blister and ecchymoma. No blister and swelling were found in the other 23 flaps. Patients were followed up for 3 to 24 months. The appearance of flaps was satisfactory and the texture was soft and good.   Conclusion There is a significant effect by using the prefabricated-decompression arterialized vein flaps, which has a reduced lead through a better balance of perfusion and drainage.  With prefabricated-decompression adjustment, the survival rate and quality of the flaps can improved significantly.

Key words: Arterialized vein flap; Prefabricated-decompression;  , Soft tissue defect