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The reverse flow ulnar artery island flap: 42 clinical cases
1Department of Orthopaedic Surgery, Norman Bethune University of Medical Sciences, Jilin, People's Republic of China.
British Journal of Plastic Surgery
|May 1, 1989
Summary
The reverse flow ulnar artery forearm island flap successfully reconstructed 42 hand tissue defects with a 97.6% survival rate. This microsurgical technique is a reliable option for extensive hand injuries and defects.
Area of Science:
- Plastic Surgery
- Microsurgery
- Hand Reconstruction
Background:
- Hand tissue defects often result from trauma or surgery, necessitating effective reconstructive methods.
- The reverse flow ulnar artery forearm island flap is a potential solution for complex hand reconstructions.
Observation:
- Anatomical and dye injection studies informed the application of this flap.
- 42 cases of hand tissue defects were reconstructed using this technique since 1984.
Findings:
- The primary indication for reconstruction was extensive crushing injuries (25 cases).
- Other causes included electric saw injuries, burn scars, and post-resection defects.
- The flap demonstrated a high survival rate of 97.6%, with only one case of complete necrosis.
Implications:
- This microsurgical approach offers a valuable and reliable alternative for repairing extensive hand tissue defects.
- The procedure is effective for defects resulting from both accidental trauma and surgical interventions.