Severe contracture of the palm causes great difficulty in the performance of the tasks required in daily life. Resurfacing with skin grafts may be sufficient for treating mild and small contractures; but severe and extensive contractures involving the joints, tendons, and neurovascular bundles should be covered with thin flaps. The authors present four cases of successful reconstruction of severe and extensive contractures of the palm using large arterialized venous flaps.
KEYWORDS
Palmar contracture - arterialized venous flap
REFERENCES
-
1
Woo S H, Seul J H.
Optimizing of severe postburn hand deformities by using aggressive contracture release and fasciocutaneous free-tissue transfer.
Plast Reconstr Surg.
2001;
107
1-8
-
2
Ninkovic M M, Wechselberger G, Schwabegger A H, Anderl H.
The instep free flap to resurface palmar defects of the hand Plast Reconstr Surg.
1996;
97
1489-1493
-
3
Fissette J, Lahaye T, Colot G.
The use of the free parascapular flap in midpalmar soft tissue defect.
Ann Plast Surg.
1983;
10
235-238
-
4
Chow J A, Bilos Z J, Hui P, Hall R F, Seyfer A E, Smith A C.
The groin flap in reparative surgery of the hand.
Plast Reconstr Surg.
1986;
77
421-425
-
5
Honda T, Nomura S, Yamauchi S, Shimamura K, Yoshimura M.
The possible application of a composite skin and subcutaneous vein graft in the replantation of amputated digits.
Br J Plast Surg.
1984;
37
607-612
-
6
Inoue G, Maeda N, Suzuki K.
Resurfacing of skin defects of the hand using the arterialised venous flap.
Br J Plast Surg.
1990;
43
135-139
-
7
Inoue G, Maeda N, Suzuki K.
Closure of big toe defects after wrap-around flap transfer using the arterialized venous flap.
J Reconstr Microsurg.
1991;
7
1-8
-
8
Ohtsuka H, Ohtani K.
A free arterialized venous loop flap.
Plast Reconstr Surg.
1992;
89
965-967
-
9
Yilmaz M, Menderes A, Karatas O, Karaca C, Barutcu A.
Free arterialised venous forearm flaps for limb reconstruction.
Br J Plast Surg.
1996;
49
396-400
-
10
Nakazawa H, Nozaki M, Sakurai H.
The use of venous flaps for the reconstruction of soft tissue defects of the hands: results in fifty-eight cases.
Jpn J Plast Reconstr Surg.
1996;
39
279-287
-
11
Nakazawa H, Nozaki M, Sasaki K, Sakurai H.
Utility of the arterialized venous flap for the reconstruction of soft tissue defects of the finger tip.
Jpn J Plast Reconstr Surg.
1998;
41
1011-1016
-
12
Takeuchi M, Sakurai H, Sasaki K, Nozaki M.
Treatment of finger avulsion injuries with innervated arterialized venous flaps.
Plast Reconstr Surg.
2000;
106
881-885
-
13
Chia J, Lim A, Peng Y P.
Use of an arterialized venous flap for resurfacing a circumferential soft tissue defect of a digit.
Microsurgery.
2001;
21
374-378
-
14
De Lorenzi F, van der Hulst R R, den Dunnen W F, Vranckx J J.
Arterialized venous free flaps for soft-tissue reconstruction of digits: 40-case series.
J Reconstr Microsurg.
2002;
18
569-574
-
15
Brooks D, Buntic R, Buncke H J.
Use of a venous flap from an amputated part for salvage of an upper extremity injury.
Ann Plast Surg.
2002;
48
189-192
-
16
Wolf K-D, Telzrow T, Rudolph K-H, Franke J, Wartenberg E.
Isotope perfusion and infrared thermography of arterialised, venous, flow-through and pedicled venous flaps.
Br J Plast Surg.
1995;
48
61-70
Hiroaki NakazawaM.D.
Department of Plastic and Reconstructive Surgery, Tokyo Women’s Medical University
8-1, Kawada Cho
Shinjyuku Ku, Tokyo, Japan
