scholarly journals Radial Flap in Reconstructions of the Hand - Case Series Study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Dejan Vulovic ◽  
Jefta Kozarski ◽  
Zeljko Curcic ◽  
Nenad Stepic ◽  
Milos Vucetic ◽  
...  
Keyword(s):  
Case Series ◽  
Fasciocutaneous Flap ◽  
Radial Forearm Flap ◽  
Soft Tissue Coverage ◽  
Local Skin ◽  
Aesthetic Result ◽  
Forearm Flap ◽  
Thickness Skin ◽  
Case Series Study ◽  
Radial Forearm

AbstractRadial forearm flap is an axial flap that has become an important technique in reconstructive surgery as a free flap or as a pedicled flap. Defects of the skin and other tissues on the hand are very common and most often they are work-related injuries. In deep defects, flap must be used, as well as in reconstruction of the amputated thumb. There are many flaps that provide adequate soft tissue coverage for the hand. Therefore, the aim of this paper is to present the results of the use of radial forearm flap in various reconstructions on the hand. The retrospective study included 35 patients who underwent reconstruction with radial forearm flaps due to defects of the skin and other tissues on the hand, in the period 1997-2019. Results and complications of the surgery were analyzed. The functional and aesthetic outcome was assessed using Michigan Hand Outcome Qusteionnarire. All patients were followed for a minimum of 1 year. Fasciocutaneous flap was the most commonly used (65.71%), followed by adiposofascial (20%) and osteocutaneous (14.29%). The size of the fasciocutaneous flap ranged from 2.2x3.1cm to 9x13.5cm. The majority of donor sites were closed with split-thickness skin grafts (56.52%), and less frequently with direct suture, local skin flap, and full-thickness skin graft. There were no complete flap losses in the study. Marginal necrosis was noted in 8.57%, and graft failure at the donor site in 14.29%. Secondary surgical procedures were performed in 13 patients. The functional-aesthetic result of the operation, based on the MHQ score, ranged from 31 (1/35) to 130 points (3/35). The ultimate aim of hand reconstruction is to restore sufficient function and form, also, closing the wound within three days following the injury is desirable. Meticulous intraoperative dissection of radial flap and early physical therapy after surgery are mandatory. The radial flap is a suitable method, especially for large and more distal skin defects on the hand, and a very good method for thumb reconstruction.

Split-Thickness Skin Flap Technique for Elevating the Radial Forearm Flap

2009 ◽  
Vol 124 (3) ◽  
pp. 1007 ◽  
Author(s):  
Surinder Singh Makkar ◽  
Ramesh K. Sharma ◽  
Atul Parashar
Keyword(s):  
Skin Flap ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Flap Technique ◽  
Thickness Skin ◽  
Radial Forearm

scholarly journals Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Eldad Silberstein ◽  
Yuval Krieger ◽  
Yaron Shoham ◽  
Ofer Arnon ◽  
Amiram Sagi ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Radial Forearm Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Aesthetic Result ◽  
Forearm Flap ◽  
Palmaris Longus ◽  
Radial Forearm

Introduction.Squamous cell carcinoma is a common tumour of lower lip. Small defects created by surgical resection may be readily reconstructed by linear closure or with local flaps. However, large tumours resection often results with microstomia and oral incompetence, drooling, and speech incomprehension. The goal of this study is to describe our experience with composite free radial forearm-palmaris longus tendon flap for total or near total lower lip reconstruction.Patients and Methods.This procedure was used in 5 patients with 80–100% lip defect resulting from Squamous cell carcinoma. Patients’ age ranged from 46 to 82 years. They are three male patients and two female. In 3 cases chin skin was reconstructed as well and in one case a 5 cm segment of mandible was reconstructed using radius bone. In one case where palmaris longus was missing hemi-flexor carpi radialis tendon was used instead. All patients tolerated the procedure well.Results.All flaps totally survived. No patient suffered from drooling. All patients regained normal diet and normal speech. Cosmetic result was fair to good in all patients accept one.Conclusion.We conclude that tendino-fasciocutaneous radial forearm flap for total lower lip reconstruction is safe. Functional and aesthetic result approaches reconstructive goals.

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.

Split-Thickness Skin Flap Technique for Elevating the Radial Forearm Flap

2009 ◽  
Vol 123 (1) ◽  
pp. 284-287 ◽  
Author(s):  
Akiyoshi Kajikawa ◽  
Kazuki Ueda ◽  
Yoko Katsuragi
Keyword(s):  
Skin Flap ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Flap Technique ◽  
Thickness Skin ◽  
Radial Forearm
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