The radial forearm flap in the management of soft tissue injuries of the hand

Soutar, David S.; Tanner, N.S.B.

doi:10.1097/00006534-198504000-00071

Cited by 17 publications

(24 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the present series, the thickness of the forearm fascia varied from 2-4 mm, depending on how much fat was included in the flap. If subcutaneous tissue is also incorporated, the size of the flap is limited because of possible skin necrosis [34]. Although the fascia is very thin, during the first 48 h, the flap is very edematous, which has also been reported by other authors [4,18,39,40].…”

Section: Discussionmentioning

confidence: 55%

“…This problem arises in reconstruction of defects on the head, hand, lower leg and foot. The fasciocutaneous forearm flap proved to be a good and reliable procedure, and as a result, is currently one of the most frequently utilized flaps [2,3,11,15,17,21,23,29,33,34]. Although reasonably thin, the radial forearm flap is too thick for reconstruction of the hand and distal part of the lower leg, since after reconstruction the flap remains above the level of the surrounding skin.…”

Section: Discussionmentioning

confidence: 99%

“…Soutar and Tanner [34] noted that it is possible to isolate forearm fascia together with superficial veins, but this limits the size of the flap, since the skin mass devascularized.…”

Section: Discussionmentioning

confidence: 99%

“…Using the experience of Cormack and Lamberty [7,8] who reported the existence of a septofascial layer in the forearm, as well as the experience of Soutar and Tanner [34], who suggested the possible use of the forearm flap as a septofascial flap, we decided to employ a forearm fascial flap.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Experience with the forearm septofascial flap

et al. 1992

View full text Add to dashboard Cite

Fascia has a well vascularized surface, and when it is covered with a split skin graft, it provides the thinnest possible flap. The authors present their own experience with the use of the forearm septofascial flap in 23 patients. A free septofascial flap was used in 15 patients and an island flap in 8 patients. Seven days later, only 25% of the patients had complete take of the split skin graft, while in 60% of the cases, there was only partial take of the graft. The results at 6 months, regarding appearance of the flap and donor site, were good. In 2 patients, a composite osteofascial flap was used for reconstruction of the mandible. In those patients, the viability of the bone was assessed with scintigraphy. There were no significant complications with the donor site. The forearm septofascial flap proved to be a good and reliable method of reconstruction in those parts of the body where thin cover was required. Constant anatomy and minimal postoperative complications are great advantages of the forearm septofascial flap when compared with other fascial flaps.A large number of assorted free flaps are now available for use in plastic and reconstructive surgery. Unfortunately, the results are not always satisfactory, particularly in areas with thin, soft tissue cover, e.g. hand, lower leg and foot. Even very thin flaps are sometimes too bulky in such cases.Fox [12] and Erol [9] described a method of vascularizing skin grafts using temporalis fascia which was then pedicled as a flap. Smith [32] and Brent [4] used fascia in combination with a free skin graft for reconstruction

show abstract

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

“…Soutar and Tanner [34] noted that it is possible to isolate forearm fascia together with superficial veins, but this limits the size of the flap, since the skin mass devascularized.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Experience with the forearm septofascial flap

et al. 1992

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4] However, the main drawback of the flap is the donor-site morbidity. Conventionally, the donor defect is repaired by grafting with split-thickness skin, but this procedure often produces delayed healing and breakdown over the flexor tendons at the wrist.…”

mentioning

confidence: 99%

Direct Closure of Radial Forearm Free-Flap Donor Sites by Double-Opposing Rhomboid Transposition Flaps: Case Report

Akyürek¹,

Şafak²

2002

J reconstr Microsurg

View full text Add to dashboard Cite

A basic disadvantage of the radial forearm flap is the removal of skin from a functionally important and cosmetically exposed region. The donor site is conventionally repaired by skin grafting. However, this method is associated with complications of graft take and a poor aesthetic appearance. In this report, the authors describe a simple technique for direct closure of a distal forearm flap donor defect, using double-opposing rhomboid transposition flaps. This method is based on the existence of an oblique skin laxity in the distal forearm from the ulnar to the radial side, allowing a double-opposing local flap design. In a 32-year-old female patient, a 6- X 4-cm longitudinally-oriented elliptical skin defect of a radial forearm free flap was succesfully closed directly with the described technique without any complications. This method is a useful alternative for primary closure of small- to medium-sized distal forearm defects.

show abstract