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When compared to other flaps the venous flow
through flap has several
advantages:
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A venous flap used to resurface a thumb tip amputation
provides pliable, durable and well vascularized coverage. |
VFTFs also have some disadvantages:
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Requires microvascular techniques - although we do
not think this is truly a disadvantage.
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May benefit from a two person team depending on the
circumstances
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Longer hospitalization - we like to use
dextran post-operatively.
Although size constraints limit its use in general reconstructions throughout
the body, it has unique clinical efficacy in small and moderate sized defects.
In selected cases, it represents an excellent option available to the creative
microsurgeon when planning complex reconstructions of the hand.
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