Venous Flap Coverage of the Mangled Hand
Mangled upper-extremity injuries represent composite tissue injuries that threaten the viability or function of the limb. Successful reconstruction is critical to both the patient’s mental and physical well-being, and early soft tissue coverage is necessary to best facilitate this. Since first descr...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
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| Series: | Journal of Hand Surgery Global Online |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514124001531 |
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| author | Anca Dogaroiu, MS Berkay Başağaoğlu, MD Andrew Y. Zhang, MD Douglas Sammer, MD Bauback Safa, MD, MBA Andrei Odobescu, MD, PhD |
| author_facet | Anca Dogaroiu, MS Berkay Başağaoğlu, MD Andrew Y. Zhang, MD Douglas Sammer, MD Bauback Safa, MD, MBA Andrei Odobescu, MD, PhD |
| author_sort | Anca Dogaroiu, MS |
| collection | DOAJ |
| description | Mangled upper-extremity injuries represent composite tissue injuries that threaten the viability or function of the limb. Successful reconstruction is critical to both the patient’s mental and physical well-being, and early soft tissue coverage is necessary to best facilitate this. Since first described by Nakayama almost four decades ago, venous flaps have remained underused in microsurgery. Here, we discuss the advantages of venous flaps in mangled upper-extremity soft tissue coverage, including their thin, pliable nature with easily accessible donor sites, short dissection, and overall procedure times. We outline surgical techniques to facilitate successful tissue transfer and identify common pitfalls. |
| format | Article |
| id | doaj-art-cee640cdff784dd49a03f5c0bbaf317b |
| institution | DOAJ |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-cee640cdff784dd49a03f5c0bbaf317b2025-08-20T02:55:45ZengElsevierJournal of Hand Surgery Global Online2589-51412025-03-017234034810.1016/j.jhsg.2024.05.012Venous Flap Coverage of the Mangled HandAnca Dogaroiu, MS0Berkay Başağaoğlu, MD1Andrew Y. Zhang, MD2Douglas Sammer, MD3Bauback Safa, MD, MBA4Andrei Odobescu, MD, PhD5Department of Plastic Surgery, The University of Texas Southwestern Medical Center, Dallas, TXDepartment of Plastic Surgery, The University of Texas Southwestern Medical Center, Dallas, TXDepartment of Plastic Surgery, The University of Texas Southwestern Medical Center, Dallas, TXDepartment of Plastic Surgery, The University of Texas Southwestern Medical Center, Dallas, TXThe Buncke Clinic, San Francisco, CADepartment of Plastic Surgery, The University of Texas Southwestern Medical Center, Dallas, TX; Corresponding author: Andrei Odobescu, MD, PhD, Associate Professor of Plastic Surgery, Department of Plastic Surgery, The University of Texas Southwestern Medical Center, 1801 Inwood Rd, Dallas, TX 75390.Mangled upper-extremity injuries represent composite tissue injuries that threaten the viability or function of the limb. Successful reconstruction is critical to both the patient’s mental and physical well-being, and early soft tissue coverage is necessary to best facilitate this. Since first described by Nakayama almost four decades ago, venous flaps have remained underused in microsurgery. Here, we discuss the advantages of venous flaps in mangled upper-extremity soft tissue coverage, including their thin, pliable nature with easily accessible donor sites, short dissection, and overall procedure times. We outline surgical techniques to facilitate successful tissue transfer and identify common pitfalls.http://www.sciencedirect.com/science/article/pii/S2589514124001531Hand injuryMangled handSoft tissue coverageVenous flap |
| spellingShingle | Anca Dogaroiu, MS Berkay Başağaoğlu, MD Andrew Y. Zhang, MD Douglas Sammer, MD Bauback Safa, MD, MBA Andrei Odobescu, MD, PhD Venous Flap Coverage of the Mangled Hand Journal of Hand Surgery Global Online Hand injury Mangled hand Soft tissue coverage Venous flap |
| title | Venous Flap Coverage of the Mangled Hand |
| title_full | Venous Flap Coverage of the Mangled Hand |
| title_fullStr | Venous Flap Coverage of the Mangled Hand |
| title_full_unstemmed | Venous Flap Coverage of the Mangled Hand |
| title_short | Venous Flap Coverage of the Mangled Hand |
| title_sort | venous flap coverage of the mangled hand |
| topic | Hand injury Mangled hand Soft tissue coverage Venous flap |
| url | http://www.sciencedirect.com/science/article/pii/S2589514124001531 |
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