Reverse Radial Forearm Flap

Hyder, Ali; Zulfiqar, Bushra

doi:10.29309/tpmj/18.4683

Cited by 1 publication

(1 citation statement)

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“…4 The reverse radial forearm flap is also an option, but it compromises a main vascular axis. 5 The posterior interosseous artery flap is rather difficult, and its main complication is venous congestion. 6 The advances in microsurgery allow transfer of small free flaps for this purpose 7 ; however, this is not available in all centers.…”

Section: Introductionmentioning

confidence: 99%

Reliability of Perforator-based UPM Flap for Coverage of Little Finger and Dorsal Hand Defect

Estawrow

Gad

2022

Plastic and Reconstructive Surgery - Global Open

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Background: There are different approaches for reconstruction of little finger and dorsal hand defects. The ulnar parametacarpal flap, first introduced by Backhach et al in 1995, is considered a good option for reconstructing such defects. In this study, we elevated this flap on one perforator and applied it as a propeller flap. We then discussed the reliability of this flap and which perforator (the proximal or the distal one) is more reliable. Methods: This study was carried out on 20 patients with different little finger and dorsal hand defects between June 2017 and March 2019. All defects were covered by perforator-based ulnar parametacarpal flaps. Ten flaps were based on the proximal perforator, whereas the other 10 were based on the distal perforator. Results: With a period of follow-up ranging from 6 months to 1 year, all flaps that were raised on the proximal perforator survived completely, whereas two of 10 flaps raised on the distal perforator showed venous congestion and also one flap showed partial necrosis of the distal one-third due to ischemia. Conclusions: The perforator based ulnar parametacarpal flap is a reliable option for reconstruction of little finger and dorsal hand defects. It is more reliable when it is raised on the proximal perforator rather than on the distal one.

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Section: Introductionmentioning

confidence: 99%