Single stage arteriovenous short saphenous loops in microsurgical reconstruction of the lower extremity.
Τίτλος | Single stage arteriovenous short saphenous loops in microsurgical reconstruction of the lower extremity. |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Demiri, E. C., Hatzokos H., Dionyssiou D., Megalopoulos A., Pitoulias G., & Papadimitriou D. |
Journal | Arch Orthop Trauma Surg |
Volume | 129 |
Issue | 4 |
Pagination | 521-4 |
Date Published | 2009 Apr |
ISSN | 1434-3916 |
Λέξεις κλειδιά | Adult, Anastomosis, Surgical, Arteriovenous Shunt, Surgical, Humans, Leg Injuries, Male, Microsurgery, Middle Aged, Reconstructive Surgical Procedures, Saphenous Vein, Surgical Flaps, Tibial Fractures, Young Adult |
Abstract | The short saphenous vein can be used "in situ" to create a temporary arteriovenous shunt for lengthening the recipient vessels of the injured limb in microsurgical reconstructions of the lower extremity. We report our results using this single-anastomosis turnover technique in three high-energy trauma patients who presented open tibial fractures associated with vascular injuries. The construction of the arteriovenous fistula provided arterial access and venous drainage to a free latissimus dorsi flap that was transferred to cover the soft tissue defect. In all three cases, this single stage procedure was successful; the flap survived and provided good long term results. The use of the ipsilateral small saphenous vein "in situ" for immediate arteriovenous loop formation may be of great value in complex lower leg reconstructions. It is a reliable adjunctive technique that provides healthy vessels to supply the free flap, permitting stable wound coverage and high rate of limb salvage. |
DOI | 10.1007/s00402-008-0745-0 |
Alternate Journal | Arch Orthop Trauma Surg |
PubMed ID | 18839192 |