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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.