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Radical forearm flap with vascularized tendons for hand reconstruction
1Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Japan.
Plastic and Reconstructive Surgery
|August 1, 1996
Summary
The cutaneotendinous radial forearm flap effectively treated soft-tissue defects involving skin and tendons in six patients. This reconstructive surgery demonstrated successful flap survival and satisfactory motor function recovery.
Area of Science:
- Orthopedics
- Plastic Surgery
- Reconstructive Surgery
Background:
- Soft-tissue defects involving skin and tendons pose significant reconstructive challenges.
- Restoring both integumentary coverage and tendon function is crucial for limb salvage and functional recovery.
Purpose of the Study:
- To evaluate the efficacy of the cutaneotendinous radial forearm flap for reconstructing combined skin and tendon defects.
- To assess flap survival and functional outcomes following this reconstructive technique.
Main Methods:
- A retrospective review of six patients with soft-tissue defects requiring skin and extensor or flexor tendon reconstruction.
- Utilized the cutaneotendinous radial forearm flap, incorporating tendon grafts (palmaris longus, flexor carpi radialis) for tendon reconstruction when necessary.
Main Results:
- All six flaps survived postoperatively.
- Motor function recovery was satisfactory in five out of six patients.
- Tendon reconstruction involved single or multiple tendons, utilizing various graft configurations.
Conclusions:
- The cutaneotendinous radial forearm flap is a viable and effective option for managing complex soft-tissue defects involving skin and tendons.
- This technique facilitates successful reconstruction and good functional recovery in the majority of patients.