[A new distally pedicled adipocutaneous perforator forearm flap]

A new distally pedicled adipocutaneous perforator forearm flap useful in corrections of congenital anomalies of hand was described. Due to the congenital anomaly expression the perforators may origin from radial, median, ulnar or anterior interosseous artery which supply blood flow into the flap tissues. Raising the flap from anterior and radial surface of the forearm begins from the proximal to the distal part, above the fascia leaving superficial cutaneous nerves and cephalic vein intact. The flap may be safely incised in the ratio 5:1 and the pivot point is localized in the place where perforators pierce the forearm fascia usually 1-2 cm above the rascetta. Rerouting of the flap distally on the hand makes reconstruction of missing thenar, the first web space or even finger tissues possible. These conditions are basal for further reconstruction in advanced hypoplasia of the radial part of hand. Similar flap may be used in the posttraumatic cases when the flap blood supply comes exclusively from radial artery perforators.