Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jun 10, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Fascial flaps for hand reconstruction.

Amir H Taghinia¹, Matthew Carty, Joseph Upton

¹Division of Plastic Surgery, Beth-Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

The Journal of Hand Surgery

|August 6, 2010

Summary

Pedicled fascial flaps offer thin, vascularized coverage for hand reconstruction, minimizing adhesions and contractures. This study details using a reverse radial forearm adipofascial flap for thumb defects.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Impact of COVID-19 Infection and Vaccination on Abdominal-based Microvascular Breast Reconstruction Outcomes.

Plastic and reconstructive surgery. Global open·2026

Same author

Health-Related Quality of Life Outcomes in Pediatric Patients With Apert Syndrome.

The Journal of hand surgery·2026

Same author

Violaceous, hyperkeratotic plaque in a pediatric patient.

JAAD case reports·2025

Same author

Regional Infantile Hemangiomas Associated With Raynaud Phenomenon.

Pediatric dermatology·2025

Same author

The Hand Surgeon's Role in the Management of Upper-Extremity Arteriovenous Malformation: A Review of the Literature.

The Journal of hand surgery·2025

Same author

Congenital Lower Extremity.

Clinics in plastic surgery·2025

Area of Science:

Plastic Surgery
Hand Surgery
Reconstructive Surgery

Background:

Soft tissue defects in the hand often expose vital structures like tendons, joints, or bone.
Traditional fasciocutaneous flaps can result in unsightly donor sites and may impede early mobilization.
Fascial flaps offer a thin, well-vascularized, and broad coverage option with a gliding surface.

Purpose of the Study:

To describe the technique for harvesting and insetting a pedicled reverse radial forearm adipofascial flap.
To highlight the benefits of fascial flaps in hand reconstruction, particularly for dorsal thumb defects.

Main Methods:

Harvesting a pedicled reverse radial forearm adipofascial flap.
Insetting the flap to cover a dorsal thumb defect.
Focus on flap characteristics: thin, broad, well-vascularized coverage, and gliding surface properties.

Main Results:

Fascial flaps provide excellent soft tissue coverage for exposed hand structures.
The described flap technique allows for early mobilization, reducing risks of adhesions and contractures.
Avoidance of unsightly donor sites compared to fasciocutaneous flaps.

Conclusions:

Pedicled fascial flaps are a valuable reconstructive option for hand defects.
The reverse radial forearm adipofascial flap is a suitable technique for dorsal thumb reconstruction.
Early mobilization is facilitated by the characteristics of fascial flaps, improving functional outcomes.

Related Experiment Videos

Last Updated: Jun 10, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025