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The radial forearm flap: a versatile source of composite tissue
V R Hentz1, R M Pearl, J A Grossman
1Department of Surgery, Stanford University, CA.
Annals of Plastic Surgery
|December 1, 1987
Summary
The radiovolar forearm flap is a versatile option for reconstructive surgery, offering thin skin and robust vascularity. This method achieved a 95% success rate in free flap reconstructions.
Area of Science:
- Plastic and reconstructive surgery
- Microsurgery
- Tissue engineering
Background:
- The radiovolar forearm area provides composite tissues suitable for various reconstructive procedures.
- Its thin, hairless skin, long, large-caliber vascular pedicle, and potential to include vascularized tendons and bone make it a valuable source.
Observation:
- The flap's skin can be reliably reinnervated, enhancing functional outcomes.
- A potential disadvantage is the conspicuous donor site, though patient concern was minimal.
Findings:
- Nineteen out of 20 (95%) free flaps harvested from the radiovolar forearm area survived completely.
- The vascular pedicle's characteristics facilitate successful microvascular anastomosis.
Implications:
- The radiovolar forearm flap is a highly reliable option for free flap reconstruction.
- Its versatility extends to hand reconstruction and other body areas, offering excellent survival rates.