Arterialized Venous Skin Flaps



- Discussion:
    - consist of subQ vein along w/ skin, & usually are taken from flexor side of distal forearm or the dorsal aspect of foot;
    - vein is interposed between missing segments of the distal artery;
    - this restores circulation and covers the skin defect;
    - there are several variations of procedure:
         - both ends of the vein in the skin flap are anastomosed to vein in the finger;
         - one end of vein in the flap is anastomosed to an artery in finger and the other end of the vein flap is anastomosed to a vein in finger;
         - both ends of the vein in skin flap are anastomosed to an artery in the finger;
         - when skin defect is accompanied by injury to the digital artery, the venous skin flap is positioned between the two healthy segments of 
                artery;
         - both microsurgical & conventional techniques continue to play important role in hand reconstruction after trauma



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, September 8, 2011 4:07 pm