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

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

doi:10.1016/0007-1226(84)90035-3

Cited by 179 publications

(39 citation statements)

References 8 publications

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“…We leave a good amount of tissue around the pedicle to preserve vascularization but sometimes the pedicle results too bulky and cause a temporary venous congestion. The donor site morbidity is minimal and no secondary contracture was observed in our series [14,15].…”

Section: Discussionmentioning

confidence: 53%

Reverse Perforator Flaps in the Reconstruction of the Hand. Our Clinical Experience

Bocchi¹,

Quarta²,

Castri³

et al. 2015

Open Orthopaedics J

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Section: Discussionmentioning

confidence: 53%

Reverse Perforator Flaps in the Reconstruction of the Hand. Our Clinical Experience

Bocchi¹,

Quarta²,

Castri³

et al. 2015

Open Orthopaedics J

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“…Radial forearm flap offers a versatile, simple, effective and one stage method for skin and soft tissue reconstruction of almost any part of volar or dorsal hand (2,3,4), however it requires sacrification of one of two major arteries of hand and forearm which is a major drawback. On the other hand, posterior interosseous flap does not require sacrification of any major vessel, which is accounted as an important advantage.…”

Section: Discussionmentioning

confidence: 99%

Technical tips in reverse flow posterior interosseous artery flaps

Tenekeci¹,

Akinci²,

Ünal³

2017

J Turgut Ozal Med Cent

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Objective: For avoiding contracture formation, coverage of exposed tendons, bones, nerves, joints or vascular structures, flaps are preferred over other soft tissue reconstruction techniques used in hand. Reverse flow posterior interosseous flaps as an option in hand reconstruction and the ways to obtain higher survival rates based on our experience is described and discussed in this article. Materials and Methods: From July 2003 to June 2013, 45 patients aged between 7 and 69 years (mean 34.6 years) were operated for soft tissue reconstruction of hand using distally based posterior interosseous flap. Results: Operative plan was changed ın one out of 45 flaps due to small pedicle calibre. Only one of the flaps was totally necrosed. No partial necrosis was seen. Conclusion: Reliability of posterior interosseous flaps are sometimes unpredictable due to the anatomical variability of posterior interosseous artery. We do not attempt to make pedicle dissection more proximal to the midpoint of dorsal axis line. Extension of the distal part of reverse flow posterior interosseous flap into the distal third territory is strongly recommended in every case, especially for more distant defects. By doing so, we include a piece of skin with numerious septocutaneous perforators arriving from posterior interosseous artery and their accompanying veins in the distal third region, thus obtaining higher survival rates.We believe that reverse flow posterior interosseous flaps are reliable in reconstruction of hand defects and the application of those operative techniques used in this study improve flap survival rates.

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“…8 Soft tissue defects of the thumb frequently require flap coverage ( Figure 5). 2 The working surface of the thumb is best replaced with tissues that are glabrous as it is hairless, has fine sensibility and good pseudo motor function for tactile gnosis.…”

Section: Discussionmentioning

confidence: 99%

“…1 Soft tissue injuries of the hand frequently require flap coverage, either to preserve structures or even to facilitate later reconstruction. 2 The absence of the thumb, whether due to failure of formation or loss from trauma, significantly impairs hand function. 3,4 The goals of thumb reconstruction are sensate and non tender thumb tip, stability of thumb joints, adequate length to resist the forces of the fingers, correct posture and postioning of the thumb with a wide adductor space.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study between Different Types of Local Flaps used for Soft Tissue Reconstruction of Volar Thumb Defects

Thabet

Aziz

2017

MOJAP

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Management of soft tissue defects of the thumb finger represents challenge for plastic surgeons regarding techniques, cosmetic and functional results. Aim of study:The present study was conducted to evaluate a comparison between three types of local flaps used for reconstructing soft tissue defects of the volar aspect of the thumb, volar palmar advancement flap, heterodigital neurovascular island flap and first dorsal metacarpal artery flap.Methods: 34 cases of soft tissue defects of the volar thumb finger were included in the study, divided into three groups, in each group a flap was used for reconstruction of soft tissue defects of the volar thumb.Results: volar palmar advancement flap is performed with no donor site morbidity, is good in terms of sensation and cosmetic results, should not be used for defects more than 1.5cm, heterodigital neurovascular flap is excellent in terms of restoration of sensation, function and cosmetic appearance., First dorsal metacarpal artery flap is the worst in terms of cosmetic results and sensation.

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

Cited by 179 publications

References 8 publications

Reverse Perforator Flaps in the Reconstruction of the Hand. Our Clinical Experience

Reverse Perforator Flaps in the Reconstruction of the Hand. Our Clinical Experience

Technical tips in reverse flow posterior interosseous artery flaps

A Comparative Study between Different Types of Local Flaps used for Soft Tissue Reconstruction of Volar Thumb Defects

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