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Related Experiment Videos

Morbidity in the forearm flap donor arm.

J G Boorman, J A Brown, P J Sykes

    British Journal of Plastic Surgery
    |March 1, 1987
    PubMed
    Summary

    Radial forearm flap surgery can lead to radius fractures and functional deficits in the donor arm. However, most patients experience minimal morbidity, with few reporting cold intolerance or ischemic issues.

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    Area of Science:

    • Plastic Surgery
    • Orthopedic Surgery
    • Reconstructive Surgery

    Background:

    • The radial forearm flap is a common reconstructive technique.
    • Assessing donor limb morbidity is crucial for patient outcomes.

    Purpose of the Study:

    • To evaluate the morbidity of the donor limb after radial forearm flap surgery.
    • To identify risk factors for complications in the donor limb.

    Main Methods:

    • Retrospective study of 27 patients undergoing radial forearm flap.
    • Analysis of donor limb complications, including fractures, functional loss, and vascular issues.

    Main Results:

    • Four of 13 patients with bone-containing flaps sustained radius fractures, leading to significant grip/pinch weakness and limited pronation/supination.
    • Most patients experienced minimal loss of power or range of motion.
    • No cold intolerance was reported; some sensory loss related to the radial nerve occurred.
    • Vascular reconstruction of the radial artery in 12 patients did not result in ischemic complications.

    Conclusions:

    • Radius fractures are a significant complication in bone-containing radial forearm flaps, impacting donor limb function.
    • Overall donor limb morbidity is generally low, with careful surgical technique and vascular management.
    • Further research should focus on preventing radius fractures and optimizing functional recovery.

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