{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T21:34:46Z","timestamp":1770327286949,"version":"3.49.0"},"reference-count":62,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,7,28]],"date-time":"2017-07-28T00:00:00Z","timestamp":1501200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vascular injuries resulting in limb ischemia are traditionally treated acutely with autologous or prosthetic bypass grafts. Traumatic contaminated injuries with soft tissue and vascular segmental loss are challenging as prosthetic bypasses are at risk of erosion, infection, and occlusion; and autologous bypasses are at risk of desiccation, blow\u2010out, infection, and clotting. We propose a novel approach to these injuries by using arterialized saphenous vein venous flow\u2010through free flaps (S\u2010VFTF) as an autologous bypass, and present the results of its application in a series of cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Spanning 2008 to 2015, four patients presenting with large contaminated crush\/avulsion wounds with vascular injury underwent hand revascularization with S\u2010VFTF, allowing the contaminated wounds to be serially debrided. Definitive soft tissue reconstruction was performed once the wound was considered clean. The S\u2010VFTF skin paddle was de\u2010epithelialized and the soft tissue defect covered with a free latissimus dorsi flap or a rectus abdominis myocutaneous flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All ischemic limbs were successfully reperfused and there were no take backs for perfusion issues. All S\u2010VFTF remained patent at discharge and final follow\u2010up. No partial or complete finger\/hand amputations were required. All definitive coverage free flap survived with no complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The two\u2010stage reconstruction presented may help reconstructive and vascular surgeons consider alternatives to traditional vascular reconstruction methods. This technique avoids an exposed vascular graft in an extensively contaminated open wound. It allows the surgeon to perform thorough and sufficient debridement of the wound, preventing definitive reconstruction in a not yet declared zone of injury.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30206","type":"journal-article","created":{"date-parts":[[2017,7,28]],"date-time":"2017-07-28T15:56:38Z","timestamp":1501257398000},"page":"362-368","source":"Crossref","is-referenced-by-count":1,"title":["USE of arterialized saphenous vein venous flow\u2010through flaps as a temporizing measure for hand salvage in contaminated wounds presenting with limb ischemia: A case series"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9280-7693","authenticated-orcid":false,"given":"Julian","family":"Diaz\u2010Abele","sequence":"first","affiliation":[{"name":"Section of Plastic Surgery University of Manitoba Winnipeg Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bauback","family":"Safa","sequence":"additional","affiliation":[{"name":"The Buncke Clinic San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudolf F.","family":"Buntic","sequence":"additional","affiliation":[{"name":"The Buncke Clinic San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9729-6631","authenticated-orcid":false,"given":"Avinash","family":"Islur","sequence":"additional","affiliation":[{"name":"Section of Plastic Surgery University of Manitoba Winnipeg Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6581"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/S0094-1298(20)31317-1","article-title":"Emergency free tissue transfer for reconstruction of acute upper extremity wounds","volume":"16","author":"Breidenbach W. 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