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Multiple simultaneous venous flow-through free flap salvage for multifinger revascularisations
  1. Olatunde H Bashorun1,
  2. Spencer R Anderson2,
  3. Chilando M Mulenga1 and
  4. Sunishka M Wimalawansa2
  1. 1Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA
  2. 2Division of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA
  1. Correspondence to Dr Spencer R Anderson; spencer.anderson{at}wright.edu

Abstract

A 22-year-old man presented with traumatic crush-avulsion injuries to the left index, ring and small fingers resulting in complex soft tissue loss and acute three-finger ischaemia. The patient underwent immediate revascularisation and soft tissue resurfacing of the three digits using three separate venous flow-through free flaps performed in a single-stage operation. Continued follow-up after 9 months confirmed successful salvage of these three digits. Multiple simultaneous venous flow-through free flaps can be considered as a viable alternative reconstructive modality for traumatic multi-digit ischaemia where both graft-based digital artery reconstruction and soft tissue coverage are required for multiple digits.

  • trauma
  • accidents, injuries
  • orthopaedic and trauma surgery
  • plastic and reconstructive surgery

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Footnotes

  • Contributors SRA: Literature review, composition of draft, review, final draft, submission. OHB: Literature review, composition of draft, case correlation, review, final draft. CMM: Literature review, composition of draft, case correlation. SMW: Conceptualisation, surgical procedure, patient care, patient management, review, final draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.