Abstract

Local procedures such as the cross-finger flap, island flap, and flag flap, among others, are well-described for the treatment of soft-tissue defects of the hand. Their effectiveness is, however, limited in cases of multi-digit injury, defects greater than 5 cm in length, and defects located on the radial side of the index, ulnar side of the small finger, and tip of the thumb. The bulkiness of conventional microvascular tissue transfer can limit its overall effectiveness. The authors presented their experience with the transfer of venous flaps for reconstruction of the thin, soft-tissue cover of the hand.

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