The Reverse-flow Radial Forearm Flap for Soft Tissue Reconstruction of the Wrist and Hand

Abulezz, Tarek; Ahmed, Ahmed; Hasnen, Mohamed Abdel-Aal; Bakri, Sherif

doi:10.21608/smj.2017.39726

The Reverse-flow Radial Forearm Flap for Soft Tissue Reconstruction of the Wrist and Hand

Document Type : Original Article

Authors

¹ Department of plastic surgery; Faculty of Midicine; Sohag University.

² Department of plastic surgery; Faculty of Medicine; Sohag University.

³ Department,Faculty of Plastic Surgery ,Sohag University

10.21608/smj.2017.39726

Abstract

Soft-tissue injuries of the hand and wrist regions are quiet common casualty. Flap coverage is often required to achieve primary wound closure and to achievea good functional result. The use of the reversed flow radial forearm fasciocutaneous flap in the reconstruction of the hand and wrist soft tissue defectshas been described by many authors to be an easy-to-learn and very versatile technique in hand injuries and reconstruction.In this report, the anatomy and vascular basis of the reversed flow radial forearm flap are presented along with the evaluation of its application in twenty patients with different hand and wrist soft tissue defects.

Keywords

References

1. Soutar, D.S. and N.S. Tanner, The radial forearm flap in the management of soft tissue injuries of the hand. Br J Plast Surg, 1984. 37(1): p. 18-26.

2. Lassner, F., M. Becker, and N. Pallua, [Therapy of soft tissue trauma in the acute phase of severe hand injuries]. Chirurg, 2001. 72(12): p. 1439-45.

3. Song, R., et al., The forearm flap. Clin Plast Surg, 1982. 9(1): p. 21-6.

4. Soutar, D.S., et al., The radial forearm flap: a versatile method for intra-oral reconstruction. Br J Plast Surg, 1983. 36(1): p. 1-8.

5. Hentz, V.R., et al., The radial forearm flap: a versatile source of composite tissue. Ann Plast Surg, 1987. 19(6): p. 485-98.

6. Megerle, K., M. Sauerbier, and G. Germann, The evolution of the pedicled radial forearm flap. Hand (N Y), 2010. 5(1): p. 37-42.

7. Frey, M., The radial forearm flap as a pedicled flap for resurfacing a scarred nose. Ann Plast Surg, 1994. 32(2): p. 200-4.

8. Muhlbauer, W., E. Herndl, and W. Stock, The forearm flap. Plast Reconstr Surg, 1982. 70(3): p. 336-44.

9. Selber, J.C., et al., Venous drainage of the radial forearm flap: comparison of the deep and superficial systems. Ann Plast Surg, 2011. 66(4): p. 347-50.

10. Lin, S.D., C.S. Lai, and C.C. Chiu, Venous drainage in the reverse forearm flap. Plast Reconstr Surg, 1984. 74(4): p. 508-12.

11. Braun, F.M., et al., Technique and indications of the forearm flap in hand surgery. A report of thirty-three cases. Ann Chir Main, 1985. 4(2): p. 85-97.

12. Jones, N.F., R. Jarrahy, and M.R. Kaufman, Pedicled and free radial forearm flaps for reconstruction of the elbow, wrist, and hand. Plast Reconstr Surg, 2008. 121(3): p. 887-98.

13. Jin, Y.T., et al., Reversed island forearm fascial flap in hand surgery. Ann Plast Surg, 1985. 15(4): p. 340-7.

14. Reyes, F.A. and W.E. Burkhalter, The fascial radial flap. J Hand Surg Am, 1988. 13(3): p. 432-7.

15. Cherup, L.L., et al., The radial forearm skin graft-fascial flap. Plast Reconstr Surg, 1990. 85(6): p. 898-902.

16. Zancolli, E.A. and C. Angrigiani, Posterior interosseous island forearm flap. J Hand Surg Br, 1988. 13(2): p. 130-5.

17. Timmons, M.J., et al., Complications of radial forearm flap donor sites. Br J Plast Surg, 1986. 39(2): p. 176-8.

18. Richardson, D., et al., Radial forearm flap donor-site complications and morbidity: a prospective study. Plast Reconstr Surg, 1997. 99(1): p. 109-15.

19. Bashir, M.A., et al., "Z-plasty" modification of ulnar-based fasciocutaneous flap for closure of the radial forearm flap donor defect. Ann Plast Surg, 2010. 64(1): p. 22-3.