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Longitudinally-split radial forearm flap
1Department of Plastic and Reconstructive Surgery, Medical Faculty of Uludag University, Bursa, Turkey. akaraca@omu.edu.tr
Summary
The split flap technique was used for radial forearm flaps to repair finger defects. This method utilizes the vascular network around sensory nerves to supply separate flap segments.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Reconstructing digital dorsal defects presents challenges in achieving adequate tissue coverage.
- The radial forearm flap is a versatile option for soft tissue reconstruction.
Observation:
- A novel application of the split flap concept was employed.
- The technique involved a distally-pedicled radial forearm flap divided into two segments.
Findings:
- The first flap segment received direct vascular supply from the radial artery.
- The second flap segment was supplied by the neurocutaneous artery of the medial cutaneous nerve.
- This split design successfully covered separate dorsal finger defects in two patients.
Implications:
- The split flap technique offers a viable strategy for complex digital reconstructions.
- This approach may enhance reconstructive options for finger injuries.
- Further studies can explore the long-term outcomes and applicability of this method.