Chinese Fasciocutaneous Radial Rorearm Flap



- Discussion:
    - standard forearm flap is vascularized by a pedicle that consists of the radial artery and two vena comitantes that are ligated proximally and 
           turned distally toward the defect in the hand;
    - it provides a thin, vascularized wound cover and a vascular bed for skin grafting;
    - this flap requires pulsatile ulnar artery & positive Allen test;
    - donor site:
           - defect is resurfaced with split-thickness skin graft;
           - to minimize donor site morbidity, the fascial component of forearm flap can be used to reconstruct hand defects;
           - split-thickness skin is placed over the flap, & donor site is closed primarily;
    - disadvantages:
           - donor site appearance has prevented its widespread acceptance;
           - skin graft of fascia is not as ideal as that of full-thickness skin,
           - radial artery is sacrificed, although this is not necessarily problem if ulnar artery is intact



The Addition o Muscle to the Lateral Arm and Radial Forearm Flaps for Wound Coverage.

The radial forearm flap: a versatile source of composite tissue.

The radial forearm flap donor site: should we vein graft the artery? A comparative study.

Use of radial forearm flaps to treat complications of closed pilon fractures.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, May 22, 2012 3:29 pm