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Reverse forearm flap based on an "exteriorized" pedicle.

¹Division of Plastic and Reconstructive Surgery, George Washington University, Washington, D.C. 20037.

The Journal of Hand Surgery

|January 1, 1991

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A novel reverse forearm flap technique provided successful soft tissue coverage for multiple digital amputations. This method preserved full digital range of motion without complications to the exposed vascular pedicle.

Area of Science:

Plastic Surgery
Microsurgery
Orthopedic Surgery

Background:

Multiple digital amputations present significant reconstructive challenges.
Effective soft tissue coverage is crucial for preserving function and preventing complications.

Observation:

A reverse forearm flap utilizing an "exteriorized" vascular pedicle was employed.
The radial artery pedicle was intentionally elongated to allow pre-division digital motion.

Findings:

The technique achieved complete soft tissue coverage for multiple digital amputations.
No adverse events related to the exposed vascular pedicle were observed.
Full range of motion in the involved digits was maintained prior to flap division.

Implications:

Related Experiment Videos

This approach offers a viable solution for complex digital reconstruction.
Preserving digital mobility enhances functional outcomes post-amputation.
The "exteriorized" pedicle technique may reduce complications in similar cases.