EXTENDED WRAP-AROUND FLAP FOR RECONSTRUCTION OF THE FINGER WITH RECURRENT ARTERIOVENOUS MALFORMATION

Treatment of arteriovenous malformations of the finger is difficult be cause complete resection of malformations by ligation or en bloc resec ting methods is impossible. We used an extended wrap-around flap consi sting of a combined wrap-around flap and a dorsalis pedis flap to reco nstruct the soft-tissue defects following complete resection of a recu rrent malformation in the index finger. This method has two advantages : no postoperative recurrence of the malformation is expected, and the affected finger can be preserved. However, it is indicated only for m alformations with no invasion to the bone and localized in one finger.