Abstract：Objective To review the progress on the reconstruction of superficial palmar arch defect with vascular transplantation.Methods The literatures were searched by using the keywords of vascular system injuries, superficial palmar arch, vascular grafting, vein grafts, arterial graft, in the database of PubMed, CNKI, and Wanfang. Articles about reconstruction of superficial palmar arch defect with vascular transplantation before December 2016 were searched and analyzed.Results For the damage injury of superficial palmar arch, the transplantation of superficial vein and small arterial are mainly used to reconstruct the vascular defect. Different methods have different advantages and disadvantages. Foot vein transplantation mainly adopts end-to-side anastomosis, and this method can provide adequate stomas. The operation is difficult. Y-type vein transplantation needs to bridge the vessels in series. The advantage is that the remote can provide multiple stomas. But the operation is complicated. The diameter of the vessel is different from that of the vessel of recipient site. Forearm vein net transplantation can resolve the mismatching of donor site with recipient site. The anatomy of the vein net is instable, and the operative procedure is difficult. The morphology and caliber of dorsal venous arch of hand are similar to those of superficial palmar arch, and the surgical resection and anastomosis are easy. The valve obstruction and obvious scar are the limitations. Reconstruction the defect of superficial palmar arch using arcus venosus dorsalis pedis transplantation can resolve the mismatching of the vessel in diameter and amount, but the difficulty is bloodstream obstruction due to the valves. Reconstruction the superficial palmar arch defect using small arterial graft is reliable, while the disadvantage is the influence on blood supply to the muscle of donor site.Conclusions Vascular graft can be used to reconstruct the defect of superficial palmar arch and restore blood flow to the distal fingers. Repairing of the defect of superficial palmar arch with vascular graft of different site varied in surgical procedure and the difficulty of the surgery, and these methods have some defects in certain aspects. Searching for a new and suitable donor site with a vascular network has become the trend in the reconstruction of the superficial palmar arch defect.
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Yu Shengjun, Zhang Shimin. Research progress on reconstruction of superficial palmar arch by vascular grafting. Chinese Journal of Anatomy and Clinics, 2018, 23(1): 81-84.
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