fig1

Figure 1. A: The 45-year-old woman was affected by arteriovenous malformation of the left hand. The index finger had been previously amputated due to recurrent and excessive bleeding. Before surgery, the residual lesion was marked according to angiography study; B: the arteriovenous malformation was excised, after delicate dissection, under the aid of tourniquet; C: the defect was covered with a thin SCIP flap. It provided good coverage of the tendons and nerves. Postoperatively, the range of movement was satisfactory. This picture shows complete extension of fingers; D: good dexterity of fingers was achieved with thin flap coverage. As shown, the patient can completely flex the fingers and good sensation of the finger tips was preserved