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Related Experiment Videos

Oblique radial forearm reverse-flow flap.

Mustafa Akyürek1, Tunç Safak, Abdullah Keçik

  • 1Department of Plastic Surgery, Hacettepe University Medical School, Sihhiye 06100, Ankara, Turkey.

Journal of Reconstructive Microsurgery
|February 13, 2003
PubMed
Summary

A modified oblique radial forearm flap design offers improved reconstruction for dorsal hand defects. This innovative approach provides a longer pedicle and wider rotation arc, resulting in better flap adaptation and smaller donor site defects.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • The radial forearm flap is a common reconstructive tool.
  • Conventional longitudinal designs may have limitations in certain reconstructions.

Purpose of the Study:

  • To present a modified, oblique design for the distally-based radial forearm flap.
  • To evaluate its efficacy in reconstructing dorsal hand defects.

Main Methods:

  • Designed an oblique skin paddle pedicled on proximal septocutaneous perforators.
  • Elevated the flap based on the distal radial artery.
  • Utilized the flap for reconstruction in seven dorsal hand defects.

Main Results:

  • All seven oblique radial forearm flaps were successfully transposed.

Related Experiment Videos

  • Flaps demonstrated total survival and a wide arc of rotation.
  • Donor sites had direct closure in five cases and size reduction in two.

    • Conclusions:

    • The oblique radial forearm flap design facilitates smaller donor defects.
    • This modification offers a longer pedicle and wider arc of rotation.
    • It provides better adaptation for dorsal hand defects compared to longitudinal designs.