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J Reconstr Microsurg 1998; 14(7): 439-443
DOI: 10.1055/s-2007-1000204
CASE REPORT

© 1998 by Thieme Medical Publishers, Inc.

Complete Removal Plus Dorsalis Pedis Flap For Arteriovenous Malformation in the Hypothenar Region

Akio Minami, Hiroyuki Kato, Kazuhiko Hirachi
  • Department of Orthopedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan
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Publication History

Accepted for publication 1998

Publication Date:
08 March 2008 (online)

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ABSTRACT

Complete removal of arteriovenous malformations of the hand, without functional impairment of the hand and fingers, is extremely difficult. A dorsalis pedis flap was used to reconstruct a soft-tissue defect, following complete removal of a malformation in the hypothenar region. This method allowed sufficient excision to militate against postoperative recurrence of the abnormality, while maintaining finger function. Two years after the operation, there has been no recurrence of the malformation and nearly normal finger function.