In order not to damage an arterial trunk while repairing the defects on the distal part of the limb, the antegrade-flow (distally based) venous island flap was designed with a superficial vein. This flap has been used in six cases, five of which succeeded and one failed. The application of the flap in the few cases showed that the survival process of the retrograde-flow venous island flap is more complicated. The key to success of such flap depends on indicati...