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J Reconstr Microsurg 1997; 13(4): 291-295
DOI: 10.1055/s-2007-1000238
ORIGINAL ARTICLE

© 1997 by Thieme Medical Publishers, Inc.

Salvage of an Avascular Thumb by Arteriovenous Flow Reversal and a Microvascular “Kite” Flap: Case Report

G. Germann, T. Raff, H. Schepler, M. Wittemann
  • Department of Plastic and Hand Surgery-Burn Center, BG-Trauma Center, Ludwigshafen, Germany
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Publication History

Accepted for publication 1996

Publication Date:
08 March 2008 (online)

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ABSTRACT

This case report describes the salvage of an avascular thumb by retrograde venous arterialization. The thumb survived with a 30 percent tissue loss at the radial aspect. Soft-tissue reconstruction and contour correction were achieved with a new microvascular free flap-the free “kite” flap-from the con-tralateral index finger. Aesthetic and functional results were excellent, and the patient returned to his original occupation. It can be concluded that retrograde arterialization can provide successful salvage in replantation and revascularization under favorable circumstances.