Reverse radial forearm fascial flap with radial artery preservation

Adam J. Hansen, S. F M Duncan, Anthony A. Smith, Alexander Yong-Shik Shin, Steven Lawrence Moran, Allen Thorp Bishop

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The reverse radial forearm fascial (RRFF) flap is widely used in soft-tissue reconstruction of the hand. The traditional RRFF flap incorporates the radial artery from the forearm and is perfused by retrograde flow through the palmar arch. In patients with an abnormal Allen test because of an incomplete palmar arch, the traditional RRFF flap is contraindicated unless a vein graft is used to reconstruct the radial artery. A simpler alternative approach for hand reconstruction in such patients is a distally based RRFF flap based on radial artery perforators, which preserves the radial artery. We used RRFF flaps based on radial artery perforators in five patients who had palmar or dorsal soft-tissue loss. All five recovered full hand function, and only one had any complications (full-thickness skin graft loss at recipient site). The RRFF flap based on distal radial artery perforators is suitable for thin coverage of soft-tissue defects in hands with either a complete or an incomplete palmar arch.

Original languageEnglish (US)
Pages (from-to)159-163
Number of pages5
JournalHand
Volume2
Issue number3
DOIs
StatePublished - Sep 2007

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Radial Artery
Forearm
Hand
Transplants
Veins
Skin

Keywords

  • Artery
  • Flap
  • Forearm fascial
  • Radial
  • Reconstruction
  • Soft-tissue

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Reverse radial forearm fascial flap with radial artery preservation. / Hansen, Adam J.; Duncan, S. F M; Smith, Anthony A.; Shin, Alexander Yong-Shik; Moran, Steven Lawrence; Bishop, Allen Thorp.

In: Hand, Vol. 2, No. 3, 09.2007, p. 159-163.

Research output: Contribution to journalArticle

Hansen, Adam J. ; Duncan, S. F M ; Smith, Anthony A. ; Shin, Alexander Yong-Shik ; Moran, Steven Lawrence ; Bishop, Allen Thorp. / Reverse radial forearm fascial flap with radial artery preservation. In: Hand. 2007 ; Vol. 2, No. 3. pp. 159-163.
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