The use of a neurotized arterio-venous flow-through flap for concurrent pulp revascularization and reconstruction
File(s)
Published version
Author(s)
Khajuria, Ankur
Sethi, Arun
Kannan, Ruben
Type
Journal Article
Abstract
Digital fingertip soft tissue defects, requiring both reconstruction and revascularization pose challenges to the reconstructive surgeon. Traditional options, including terminalization, vein graft and cross-finger flap and free flow-through flaps, maybe unsuitable or unavailable, with potential for significant donor site morbidity. Venous free flaps rely on venous circulation alone, with no sacrifice of an artery. We present a unique case of a self-employed tradesman with Raynaud’s disease, with 4-finger injury, 3-finger ischemia for whom, we performed a neurotized arterialized venous flow-through (nAVFT) flap to revascularize and reconstruct a pulp defect (with a concomitant vessel gap of 2cm). After allowing for a period of intrinsic delay, the nAVFT flap was inset after ten days. The flap survived and the patient began to return to his activities within a month of the injury.
Date Issued
2021-11
Date Acceptance
2021-09-07
Citation
Plastic and Reconstructive Surgery Global Open, 2021, 9 (11), pp.1-3
ISSN
2169-7574
Publisher
Lippincott, Williams & Wilkins
Start Page
1
End Page
3
Journal / Book Title
Plastic and Reconstructive Surgery Global Open
Volume
9
Issue
11
Copyright Statement
© 2021 The Authors. Published by Wolters Kluwer Health,
Inc. on behalf of The American Society of Plastic Surgeons. This
is an open-access article distributed under the terms of the Creative
Commons Attribution-Non Commercial-No Derivatives License 4.0
(CCBY-NC-ND), where it is permissible to download and share the
work provided it is properly cited. The work cannot be changed in
any way or used commercially without permission from the journal
Inc. on behalf of The American Society of Plastic Surgeons. This
is an open-access article distributed under the terms of the Creative
Commons Attribution-Non Commercial-No Derivatives License 4.0
(CCBY-NC-ND), where it is permissible to download and share the
work provided it is properly cited. The work cannot be changed in
any way or used commercially without permission from the journal
Identifier
https://journals.lww.com/prsgo/Fulltext/2021/11000/The_Use_of_a_Neurotized_Arterio_venous.8.aspx
Publication Status
Published
Date Publish Online
2021-11