VENOUS FLAPS: A NOVEL RECONSTRUCTIVE OPTION FOR SOFT TISSUE DEFECTS OF THE LIMBS
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Abstract
Objectives: To evaluate the outcomes of free venous flap for coverage of soft tissue defects (STDs) of the limbs. Methods: A prospective, cross-sectional descriptive, and longitudinal study was conducted on 11 patients with limb STDs who underwent free venous flap reconstruction at Military Hospital 103 from July 2024 to July 2025. Data, including patient characteristics, flap survival, coverage effectiveness, flap size, and short- and long-term outcomes, were collected Results: Complete flap survival with primary healing was achieved in 10/11 cases (90.9%), while 1/11 (9.1%) experienced partial necrosis but still ensured effective coverage, and donor sites healed primarily in all cases (100%). At long-term follow-up, all 6 surviving flaps (100%) were soft, without ulceration, infection, or fistula. Conclusion: Free venous flap is a novel and effective reconstructive material for coverage of small- to medium-sized soft tissue defects of the limbs.
Keywords
Soft tissue defect, Venous flap, Free venous flap, Arterialized venous flap, Veno-venous flap
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References
2. Fong AJ, Khechoyan DY, Fang TD, et al. Soft-tissue coverage of the lower extremity: A contemporary review. Plastic and Reconstructive Surgery. 2013; 132(3):543e-558e.
3. Nakazawa H, Nozaki M, Kikuchi Y, et al. Successful correction of severe contracture of the palm using arterialized venous flaps. J Reconstr Microsurg. 2004 Oct; 20(7):527-531.
4. Fukui A, Inada Y, Maeda M, et al. Venous flap its classification and clinical applications, Microsurgery. 1994; 15(8):571-578.
5. Woo SH, Kim KC, Lee GJ, et al, A retrospective analysis of 154 arterialized venous flaps for hand reconstruction: An 11-year experience. Plast Reconstr Surg. 2007 May; 119(6):1823-1838.
6. Thatte MR, Thatte RL, Venous flaps. Plast Reconstr Surg. 1993 Apr; 91(4):747-751.
7. Chen HC, Tang YB, Noordhoff MS. Four types of venous flaps for wound coverage: A clinical appraisal, J Trauma. 1991 Sep; 31(9):1286-1293.
8. De Lorenzi F, van der Hulst RR. den Dunnen WF, et al. Arterialized venous free flaps for soft-tissue reconstruction of digits: A 40-case series. J Reconstr Microsurg. 2002 Oct; 18(7):569-574; discussion 575-577.
9. Pittet B, Quinodoz P, Alizadeh N, et al. Optimizing the arterialized venous flap. Plast Reconstr Surg. 2008 Dec; 122(6):1681-1689.
10. Kovács AF. Comparison of two types of arterialized venous forearm flaps for oral reconstruction and proposal of a reliable procedure. J Craniomaxillofac Surg. 1998 Aug; 26(4):249-254.