Related Experiment Video
Updated: Jun 25, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
[Suprafascial dissection of the radial forearm flap]
1Service de Chirurgie Maxillofaciale et Stomatologie, Hôpital Lapeyronie, 371 Avenue du Doyen-Gaston-Giraud, 34295 Montpellier Cedex 5, France. Kamaldounia@hotmail.com
Introduction:
The aim of this study was to assess the efficacy of dissection of radial forearm flap in a superficial plan above the deep fascia to prevent donor site problems.
Patients And Methods:
Eighteen radial forearm flaps were used for orofacial reconstruction: 11 suprafascial flaps and seven infrafascial flaps. We compared in the two groups: flap failure, graft success, tendon adhesions, sensory nerve damage at donor site.
Results:
We observed one case of flap failure in the infrafascial group and one case in the suprafascial group. With suprafascial elevation flap technique, we noted 100% of grafts integration without tendon adhesion. In infrafascial elevation flap technique, four out of seven patients had delayed healing.
Discussion:
The suprafascial dissection of free radial forearm flap creates a superior graft recipient bed ensuring early and complete successful graft.
Related Concept Videos
Arteries of the Upper Limbs
Muscles of the Forearm that Move the Hand and Fingers
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi radialis,...
Bones of the Upper Limb: Radius
The radius has a nail-shaped head, and a short...

