Use of giant-sized flow-through venous flap for simultaneous reconstruction of dual or multiple major arteries in salvage therapy for complex upper limb traumatic injury.

Background/objectives: Salvage repair after complex upper limb traumatic injury is surgically challenging due to underlying major arterial impairment with complicating a large-sized soft tissue defect. The purpose of this study was to evaluate the effectiveness and safety of using a giant-sized (≥100 cm(2)) flow-through venous flap for reconstruction of dual or multiple forearm, metacarpal, or digital arteries after complex upper limb traumatic injury.

Methods: Seven patients were consecutively hospitalized for emergency salvage repair after complex upper limb traumatic injury between March 2012 and May 2014.

Thumb reconstruction via a pedicled flap based on the superficial palmar branch of the radial artery from the wrist crease area.

Background: The free flap based on the superficial palmar branch of the radial artery (SPBRA) has been extensively reported. A reversed pedicled flap based on the SPBRA, harvested from the wrist crease area, can be a potential candidate for the reconstruction of the soft-tissue and artery defects in the thumb.

Method: Between January 2012 and October 2013, this flap was used in seven patients to reconstruct soft-tissue defects in the thumb.

Use of a distal ulnar artery perforator-based bilobed free flap for repairing complex digital defects.

Purpose: To retrospectively evaluate the effectiveness and safety of using a distal ulnar artery perforator (DUAP)-based bilobed free flap (BFF) for the repair of complex digital defects in the hand.

Methods: We retrospectively studied 15 patients who sustained traumatic digital defects with complicating tendon and phalanx exposure and were hospitalized for repair using a DUAP-based BFF. Main outcome measures included patients' self-assessed physical appearance, total active motion, and 2-point discrimination.

[Treatment of refractory sinus in the lower leg with modified VSD technique].

Objective: To investigate the effects of modified vacuum sealing drainage (VSD) technique in treating refractory sinus in the lower leg.

Methods: From January 2010 to December 2011, 11 patients with refractory sinus in the lower leg, including 7 males and 4 females, with an average age of 34.5 years (ranged,23 to 56).

[Application of V-Y flap pedicled with superior malleolus cutaneous branch for small skin defect at the dorsal side of foot].

Objective: To investigate the therapeutic effect of V-Y flap pedicled with superior malleolus cutaneous branch for small skin defect at the dorsal side of foot.

Methods: From Aug. 2008 to Aug.

[Repair of soft tissue defect at finger tip with square island flap pedicled with skin perforator of digital artery on the distal interphalangeal joint].

Objective: To investigate the repair of soft tissue defect at finger tip with square island flap pedicled with skin perforator of digital artery on the distal interphalangeal joint (DIP).

Methods: From Jun. 2009 to Mar.

[Repair of thumb tip defect with thumb island flaps at ulnar side by V-Y advancement].

Objective: To investigate the method for treatment of thumb tip defect.

Methods: The thumb tip defect was treated with thumb island flaps at ulnar side by V-Y advancement. The flap size ranged from 1.

[The clinical experience in transplantation of the anterolateral femoral skin flap].

Objective: To introduce the clinical experience in transplantation of the anterolateral femoral skin flap.

Methods: A total of 625 anterolateral femoral skin flaps in 600 patients were transplanted from 1988 to 2003. The retrospective analysis was carried out in all the cases as to the flap pedicle, the vascular variations, the surgical procedures and modifications, and the adaptation for a cutaneous-branch-absent flap.