Reconstruction of Hand Soft-Tissue Defects: Alternatives to the Radial Forearm Fasciocutaneous Flap

Clinical Applications of Perforator-Based Propeller Flaps in Upper Limb Soft Tissue Reconstruction

“…7 A perforator-based propeller flap can be designed on any perforator, and a number of articles present the usefulness of individual perforator-based flaps for upper limb reconstruction. 18,19,30,[35][36][37][38][39][40][41][42][43][44][45][46][47][48] The elbow, wrist, and hand represent the 3 areas in the upper limb that usually require flap reconstruction. The perforator flaps available for elbow reconstruction include 5 flaps: (1) inferior ulnar collateral artery perforator flap (IUCAP), 6,37,38 (2) SUCAP, 6,39,40 (3) BAP, 6,49,50 (4) RRAP, 6,51-53 and (5) RCAP.…”

The Reliability of the Reversed Flow Posterior Interosseous Flap for the Coverage of Ulnar Hand Defects: A Series of 25 Cases

“…On the other hand, the radial forearm flap that has many disadvantages has been reported such as poor donor sit skin graft take, noticeable donor scar, bulky volar skin compared to thin dorsal skin, , hand swelling, reduced joint movement and strength, reduced sensation, coldintolerance, and radius fracture [16] [17]. Moreover, acute ischemia of the hand has been reported in spite of adequate circulation by preoperative Allen's test [18].…”

Soft Tissue Reconstruction of the Hand

“…Page and Chang's review of forearm flaps in a previous issue of the Journal is especially helpful. 11 The value of the radial forearm flap to the field of hand surgery cannot be overestimated. However, the original radial forearm flap has several disadvantages, including poor donor-site appearance, potential bulkiness, and sacrifice of the radial artery.…”