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Related Experiment Videos

Forearm flap in orthopaedic and hand surgery.

P N Soucacos1, A E Beris, T A Xenakis

  • 1Orthopaedic Department, University of Ioannina Medical School, Greece.

Microsurgery
|January 1, 1992
PubMed
Summary

The radial forearm flap is a versatile surgical technique for reconstructing severe upper and lower extremity injuries. This study found it to be a useful and well-tolerated option for extensive skin defects.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Orthopedic Surgery

Background:

  • Severe injuries to the extremities often require complex reconstructive procedures.
  • The radial forearm flap is a potential option for soft tissue reconstruction.

Purpose of the Study:

  • To evaluate the efficacy and usefulness of the radial forearm flap in reconstructing severe upper and lower extremity injuries.
  • To assess patient outcomes and donor site aesthetics.

Main Methods:

  • A retrospective review of 34 patients who underwent reconstruction using radial forearm flaps over 4 years.
  • Flaps were used for upper (10) and lower (24) extremity defects, including island and innervated applications.
  • Bony portion of the radius was not included in any flap.

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Main Results:

  • A total of 29 out of 34 flaps (85.3%) survived successfully.
  • Three flaps failed completely, and two partially failed due to venous anastomosis occlusion, requiring revision.
  • All patients reported acceptable cosmetic appearance of the donor site.

Conclusions:

  • The radial forearm flap is a reliable and effective method for reconstructing extensive skin defects in both upper and lower extremities.
  • Key advantages include its versatility as an island flap and suitability for axillary block anesthesia.
  • The procedure offers good functional and cosmetic outcomes for patients.