Optimizing venous outflow in reconstruction of Gustilo IIIB lower extremity traumas with soft tissue free flap coverage: Are two veins better than one?

ConclusionLower extremity trauma free flaps with two venous anastomoses demonstrated a fourfold reduction in complication rates compared to single‐vein flaps. Additionally, venous size mismatch >1 mm was an independent predictor of total flap failure, suggesting beneficial effects of both two‐vein outflow and matched vessel diameter.

Source: Microsurgery - November 1, 2017 Category: Surgery Authors: John T. Stranix, Z ‐Hye Lee, Lavinia Anzai, Adam Jacoby, Tomer Avraham, Pierre B. Saadeh, Jamie P. Levine, Vishal D. Thanik Tags: CLINICAL ARTICLE Source Type: research