The use of dorsoradial forearm flap for the treatment of dorsal hand defect

Karakol, Perçin; Sezgiç, Melihcan; Tatar, Burak Ergün; Gelbal, Caner; Uslu, Can

doi:10.1093/jscr/rjaa153

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…However, techniques to cover hand and forearm soft tissue defects are continuously progressing over time, especially with the development of free flaps and microsurgery. Several studies have reported a satisfactory outcome with utilization of groin flap [ 12 ], paraumbilical flap [ 13 ], Dorsal Intermetacarpal flap [ 14 ], Posterior Interosseus flap [ 15 ], Infraclavicular flap [ 16 ], cross flap [ 17 ], and Chinese Forearm (CFA) flap.…”

Section: Discussionmentioning

confidence: 99%

Distally based Chinese forearm flap in preventing impending necrosis from ring entrapment: Surgical case report

Meirizal,

Pradipta,

Yasykur

2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Distally based Chinese forearm flap in preventing impending necrosis from ring entrapment: Surgical case report

Meirizal,

Pradipta,

Yasykur

2024

International Journal of Surgery Case Reports

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“…5 In small defects, dorsal rotation flaps, advancement flaps, or hatchet flaps are used. [6][7][8][9][10][11] In moderate defects, cross finger flaps with adipofascial variants are especially used. Immobilization and two-stage operation procedure are important disadvantages in cross finger flaps.…”

Section: Discussionmentioning

confidence: 99%

Use of Heparin Cream for Venous Congestion in the Extended Reverse Metacarpal Artery Flap: A Case Report

et al. 2022

Self Cite

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Finger dorsum defects are a challenging situation. Many reconstruction methods are used in these defects. Extended reverse dorsal metacarpal artery (RDMA) flap is used in dorsal finger reconstruction. Venous congestion in this flap is most important cause of flap failure. In this case, we presented a case in which we used heparin cream due to development of venous congestion in our patient who underwent an extended RDMA flap. A 24-year-old female patient presented to the emergency department with a defect of dorsal of left-hand fourth finger. Defect was covered with an extended RDMA flap. On postoperative first day, venous congestion was observed, and heparin cream was applied three times a day on flap. The signs of venous congestion were regressed. Tissue healed as a result of superficial epidermolysis and skin grafting. No functional limitation was observed in sixth-month postoperative control. Venous congestion is the most important cause of flap failure of extended RDMA flaps. Generally, subcutaneous heparin administration and leech therapy are used. In our case, heparin was applied as a cream instead of subcutaneously, and flap healing was observed as a result of superficial epidermolysis. Heparin cream application can also be used as a treatment option in flaps with venous congestion.

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“…Thus, in accordance with the principles of wound repair, adjacent flaps, such as distal radial artery perforator flaps (Karakol et al, 2020), distal ulnar artery perforator flaps (Unal et al, 2011), and dorsal carpal perforator flaps, based on the anterior interosseous artery (Hu, Chen, et al, 2020) may be a better choice. Adjacent flaps (Demiri et al, 2013;Rehim & Chung, 2014) not only have a similar color and texture to the surrounding tissue but also can be completed in the same surgical field, yet it is difficult to suture the donor area directly and often requires skin grafting once the flap width is over 5 cm (Biswas et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Sequential posterior interosseous artery perforator flap for reconstruction of dorsal hand defects

Zhou

et al. 2022

Clinical Anatomy

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Dorsal hand defects accompanied by exposure of bones and tendons remain a huge challenge for plastic surgeons. The pedicled perforator flaps have unique advantages in resurfacing the defects. This study aimed to investigate the clinical efficacy of the sequential posterior interosseous artery perforator flap for repairing dorsal hand defects. This study was composed of an anatomical study and clinical application. Anatomically, 30 adult upper limb specimens injected with red latex were dissected, the perforators from the branches of the posterior interosseous artery were observed in the dorsal forearm, and the sequential flap based on them was designed based on the anatomical characteristics. Clinically, nine cases of soft tissue defects on the dorsum of the hand were treated by this flap. Anatomically, the posterior interosseous artery divided into an ascending branch and a descending branch, and the descending branch traveled 1.0 ± 0.3 cm down to divide into the ulnar and radial terminal branches. The ulnar terminal branch presented constantly, and the radial terminal branch had an occurrence rate of 93.33%. Clinically, all flaps survived completely and possessed a soft texture and satisfactory appearance, as well as a nonbloated pedicle, and the donor region had a natural color and appearance with only a linear scar left behind. The sequential posterior interosseous artery perforator flap could become a useful option for repairing dorsal hand defects, as it has the advantages of being easy to perform without sacrificing the main vessels and avoiding donor area skin grafting.

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The use of dorsoradial forearm flap for the treatment of dorsal hand defect

Cited by 3 publications

References 11 publications

Distally based Chinese forearm flap in preventing impending necrosis from ring entrapment: Surgical case report

Distally based Chinese forearm flap in preventing impending necrosis from ring entrapment: Surgical case report

Use of Heparin Cream for Venous Congestion in the Extended Reverse Metacarpal Artery Flap: A Case Report

Sequential posterior interosseous artery perforator flap for reconstruction of dorsal hand defects

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