BACKGROUND/OBJECTIVES: Salvage repair after complex upper limb @entity130 is surgically challenging due to underlying major @entity73 with complicating a large-sized soft tissue defect. The purpose of this study was to evaluate the effectiveness and safety of using a giant-sized (>= 100 cm(2)) flow-through venous flap for reconstruction of dual or multiple forearm, metacarpal, or digital arteries after complex upper limb @entity130 . METHODS: Seven @entity1 were consecutively hospitalized for emergency salvage repair after complex upper limb @entity130 between March 2012 and May 2014. The forearm and palmar @entity455 were repaired using the @entity291 great saphenous vein flap and the volar forearm venous flap, respectively. RESULTS: The flow-through venous flap ranged from 9.5cm*12.0cm to 12.0cm*20.0cm (mean, 158.4 cm(2)) in size. The flaps and affected limbs survived uneventfully in five @entity1 , with one @entity1 experiencing distal flap marginal @entity39 and a second @entity1 requiring amputation of the affected limb. Computed tomography angiography showed patent vessels in all @entity1 . The mean total active motion of the repaired fingers was 199.5   versus 258.8   for the contralateral counterpart (77.1%). The sensory return was determined to be S2 in 2 @entity1 , S3 in 3 @entity1 and S3+ in 1 @entity1 . The disability scores for the arm, shoulder, and hand ranged from 4.6-18.2 (mean, 11.3), and the mean Michigan hand outcomes questionnaire score was 7.8  0.9. CONCLUSIONS: The flow-through venous flap is an effective and safe treatment alternative for salvage therapy of a >= 100-cm(2) complex upper limb @entity130 with dual or multiple major @entity73 . This technique allows simultaneous reconstruction of dual or multiple @entity1317 and an extensive soft tissue defect. Serious surgical @entity281 remains a major safety concern and necessitates radical debridement in complicating cases.

Use of giant-sized flow-through venous flap for simultaneous reconstruction of dual or multiple major arteries in salvage therapy for complex upper limb XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity455 :: ('MESH:D014652', 'Disease') :: ['artery defects'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity73 :: ('MESH:D003072', 'Disease') :: ['arterial impairment'] @entity281 :: ('MESH:D007239', 'Disease') :: ['site infection'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['artery injuries'] @entity291 :: ('9913', 'Species') :: ['calf'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumatic injury']
@entity130 :: (MESH:D014947,Disease) :: ['traumatic injury']
