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Related Experiment Videos

The fascial radial flap.

F A Reyes1, W E Burkhalter

  • 1University of Miami School of Medicine, Department of Orthopaedics and Rehabilitation, FL 33101.

The Journal of Hand Surgery
|May 1, 1988
PubMed
Summary

Retrograde forearm fascia flap transfer offers a one-stage solution for hand soft tissue reconstruction. This technique aids early rehabilitation for traumatic hand injuries when other methods fail.

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Conventional methods for hand soft tissue reconstruction are often inadequate for severe trauma.
  • Traumatic hand injuries frequently result in full-thickness skin loss, necessitating advanced reconstructive techniques.

Observation:

  • Six patients with severe hand trauma underwent retrograde forearm fascia flap transfer.
  • Fascial pedicle flaps were chosen due to prior treatment failures or contraindications for other methods.

Findings:

  • Four patients experienced uncomplicated one-stage flap transfers.
  • Two patients developed postoperative hematomas, resolving without further intervention.
  • One patient had superficial flap necrosis, potentially linked to reversed vascular flow and elevated pressure.

Implications:

  • Retrograde forearm fascia flap transfer is a viable single-stage option for hand soft tissue reconstruction.
  • The technique facilitates early patient rehabilitation, improving functional outcomes.
  • Understanding vascular dynamics is crucial for optimizing flap viability in this procedure.

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