title: Extended wrap-around flap for thumb reconstruction following radical excision of a congenital arteriovenous fistula.
abstract: A 38-year-old woman presented with a large congenital arteriovenous fistula in her left hand with ischaemic atrophy of the thumb and index finger. Radical resection of the lesion and ray amputation of the index finger was done. To allow radical excision and reconstruction of the thumb and skin defect, we used an extended wrap-around flap. This flap is useful for primary reconstruction of the thumb following radical excision of a congenital arteriovenous fistula involving the thumb.
authors.affiliation: Department of Orthopaedic Surgery, Ogori Daiichi General Hospital, Yoshikigun, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Hattori
authors.forename: K
authors.initials: K
authors.lastname: Doi
authors.forename: F
authors.initials: F
authors.lastname: Kawakami
authors.forename: M
authors.initials: M
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D001164:Arteriovenous Fistula / Q000151:congenital* / Q000601:surgery*; D005260:Female; D005385:Fingers / Q000098:blood supply / Q000601:surgery; D006801:Humans; D013524:Surgical Flaps; D013933:Thumb / Q000098:blood supply / Q000601:surgery*