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[The neurovascular forearm island flap]
Zeitschrift Fur Plastische Chirurgie
|September 1, 1981
Summary
This study introduces a forearm neurovascular island flap for hand reconstruction. This versatile flap provides coverage, drainage, and sensation for extensive hand defects.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Hand injuries often result in significant skin and soft tissue defects.
- Effective reconstruction requires flaps that provide durable coverage and restore function.
Observation:
- A neurovascular island flap of forearm skin was designed, utilizing reversed arterial blood flow from the radial artery.
- The flap is based at the wrist level, allowing for extensive reach.
Findings:
- The described flap can cover nearly all types of hand skin and soft tissue defects.
- Venous anastomosis with forearm veins ensures flap drainage.
- Microneural anastomosis restores sensation by connecting forearm nerves to hand nerves.
Implications:
- This technique offers a viable solution for complex hand reconstruction challenges.
- It has the potential to improve functional outcomes and patient quality of life after hand trauma.