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[Donor site morbidity following radial forearm flap]
A Kröpfl1, R Helmberger, F Gasperschitz
1Unfallkrankenhaus Salzburg.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|March 1, 1995
Summary
This study evaluated long-term donor site morbidity of the radial forearm flap in 20 patients. Most patients experienced good functional recovery, though some had minor limitations in wrist motion and grip strength.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Context:
- The radial forearm flap is a common technique in reconstructive surgery.
- Assessing donor site morbidity is crucial for patient outcomes.
- Long-term follow-up data on this specific flap is valuable.
Purpose:
- To evaluate the long-term morbidity of the fasciocutaneous radial forearm flap donor site.
- To assess functional outcomes such as range of motion and strength.
- To identify sensory changes and other complications.
Summary:
- A review of 20 patients with an average follow-up of 4.4 years was conducted.
- Two patients had limited wrist extension (15-30 degrees).
- Five patients showed reduced pinch and grip strength (to 88% of the contralateral limb).
- Three patients reported dysesthetic areas, and four had reduced radial nerve sensation.
Impact:
- Provides insights into the functional and sensory sequelae of radial forearm flap harvesting.
- Informs surgical planning and patient counseling regarding potential donor site complications.
- Contributes to the understanding of long-term outcomes in reconstructive surgery.