Related Experiment Videos
Distal radial fasciocutaneous flap
1Orthopaedic Department, Dr Hasan Sadikin Hospital/Medical School University of Padjadjaran, Bandung, West Java.
Annals of the Academy of Medicine, Singapore
|July 1, 1995
Summary
This study details a radial forearm fasciocutaneous flap, ideal for reconstructing wrist and hand defects. Its reliable blood supply ensures effective tissue coverage for various injuries.
Area of Science:
- Plastic Surgery
- Anatomy
- Microsurgery
Background:
- The radial forearm fasciocutaneous flap is a versatile option for soft tissue reconstruction.
- Understanding its precise vascular supply is crucial for successful flap elevation and transfer.
Purpose of the Study:
- To delineate the vascular anatomy of the radial forearm fasciocutaneous flap.
- To define the cutaneous territory supplied by this flap.
- To assess its suitability for resurfacing defects in the distal forearm and hand.
Main Methods:
- Cadaveric dissection of injected specimens using colored latex and methylene blue.
- Detailed analysis of the arterial supply, including the radial artery and dorsal carpal rete.
- Mapping of the flap's cutaneous distribution.
Main Results:
- The flap is an axial flap based on a distal radial artery branch, reinforced by fasciocutaneous arteries from the dorsal carpal rete.
- A flap of 5 x 7 cm with a 2.5 cm pedicle can be reliably harvested.
- The flap's vascularity supports coverage of defects on the palmar and dorsal wrist, carpometacarpal joints, and the base of the first metacarpal bone.
Conclusions:
- The radial forearm fasciocutaneous flap possesses a robust and predictable vascular supply.
- This flap is an effective reconstructive option for defects in the wrist and hand.
- Detailed anatomical knowledge facilitates its safe and successful clinical application.