Management of Combined Soft Tissue and Osseous Defect of the Midfoot with a Free Osteocutaneous Radial Forearm Flap: A Case Report

2012 ◽  
Vol 51 (1) ◽  
pp. 118-122 ◽  
Author(s):  
J. Randolph Clements ◽  
Cay Mierisch ◽  
Cesar J. Bravo
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Radial Forearm ◽  
Osseous Defect

Use of a Mechanical Leech in a Reverse-Flow Radial Forearm Flap: Case Report

2001 ◽  
Vol 17 (05) ◽  
pp. 335-340 ◽  
Author(s):  
Giorgio C. La Scala ◽  
Sean M. Carroll ◽  
Christopher R. Forrest ◽  
Ronald M. Zuker
Keyword(s):  
Case Report ◽  
Reverse Flow ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Radial Forearm

Hypothenar hammer syndrome after radial forearm flap harvest: A case report

2001 ◽  
Vol 26 (4) ◽  
pp. 772-775 ◽  
Author(s):  
James P. Higgins ◽  
Greg S. Orlando ◽  
Phillip Chang ◽  
Joseph M. Serletti
Keyword(s):  
Case Report ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Hypothenar Hammer Syndrome ◽  
Radial Forearm

scholarly journals Reverse Radial Forearm Flap to Provide Arterial Inflow to a Toe Transfer

Hand ◽  
2016 ◽  
Vol 12 (2) ◽  
pp. 154-161 ◽  
Author(s):  
Joohak Kim ◽  
Alfred P. Yoon ◽  
Neil F. Jones
Keyword(s):  
Soft Tissue ◽  
Case Reports ◽  
Radial Forearm Flap ◽  
Soft Tissue Coverage ◽  
Forearm Flap ◽  
Arterial Inflow ◽  
Radial Forearm ◽  
Age Range ◽  
Toe Transfer

Background: Toe-to-thumb transfer has become the gold standard for thumb reconstruction, but in badly mutilated hands, additional soft tissue coverage may be required or a suitable recipient artery may not be available. There are only 3 case reports describing the successful use of a reverse radial forearm flap for coverage of a soft tissue defect around the thumb as well as providing arterial inflow for a toe transfer, performed either simultaneously or secondarily. Methods: A single surgeon’s experience of all toe-to-hand transfers performed in conjunction with a reverse radial forearm flap between 1995 and 2014 was reviewed, including patient demographics, type of toe transfer and vascular pedicle, whether immediate or secondary, follow-up, and complications. Results: Eight toe-to-hand transfers were performed in 7 patients—3 children (age range, 3-15 years) and 4 adults (age range, 19-39 years). Three patients underwent primary toe-to-thumb transfer simultaneously with a reverse radial forearm flap, and 5 patients underwent secondary toe-to-hand transfer between 4 months and 2½ years after an initial reverse radial forearm flap. All toe transfers survived completely. Average follow-up was 5.1 years. All patients were satisfied with the function and appearance of their reconstructed thumb. Conclusion: The reverse radial forearm flap is a very reliable procedure as a “Sister” or “Siamese” flap to provide immediate arterial inflow to a simultaneous toe-to-thumb transfer, or to provide primary soft tissue coverage on the radial aspect of the hand and subsequently provide a recipient arterial inflow for a secondary toe transfer.

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