title: Simultaneous coverage of two separate dorsal digital defects with a syndactylizing venous free flap.
abstract: We report a case of a 58-year-old patient who sustained multiple finger injuries on the right hand. After thorough debridement, two dorsal defects of the middle and ring fingers were covered simultaneously with a single arterialized venous free flap from the right forearm. The flap was used to create a dorsally syndactylized digit which survived completely and was subsequently divided longitudinally. With early flap division, excellent functional and cosmetic result was achieved. We consider the syndactylized venous free flap with early division as a useful option for simultaneous coverage of separate dorsal digital defects.
authors.affiliation: The Buncke Clinic, San Francisco, CA, USA. trovatma@umdnj.edu
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Trovato
authors.forename: Darrell
authors.initials: D
authors.lastname: Brooks
authors.forename: Rudolf F
authors.initials: RF
authors.lastname: Buntic
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Buncke
mesh_terms: D005383:Finger Injuries / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D014680:Veins / Q000601:surgery*; D014945:Wound Healing