Aesthetic and functional results of harvesting radial forearm flap, especially with regard to hand function

Long-term digital blood flow after radial artery harvesting for coronary artery bypass grafting

“…The removal of the radial artery in properly selected patients is considered safe [2][3][4], but there is limited information on the status of digital flow after radial artery harvesting. There is continuing concern over the occurrence of postoperative circulatory insufficiency of hands and fingers in these patients [5][6][7].…”

Rewarming Patterns in Hand Fracture Patients With and Without Cold Intolerance

“…In addition, cold intolerance is commonly reported by patients who have had Raynaud's disease, 9 -12 upper extremity trauma, digital replantations, [13][14][15][16][17][18][19][20][21][22] hand and arm vibration syndrome, and a radial forearm flap. 23,24 In many studies, the presence of cold intolerance is determined using a single yes/no question. Alternatively, the severity of cold intolerance can be determined in more detail using the Cold Intolerance Symptom Severity (CISS) questionnaire, developed by Irwin et al 2 and adjusted by Ruijs et al 25 The pathophysiology of cold intolerance is still unclear.…”

Digital Rewarming Patterns After Median and Ulnar Nerve Injury

“…11,13,15,18 -21 Cold intolerance has also been noticed frequently in patients with Raynaud's disease, [22][23][24][25] upper extremity fractures, 26 digital replantations, 21,[27][28][29][30][31][32][33][34][35] and after raising radial forearm flaps. 36,37 The severity of CI has been studied subjectively using a single question, 16,30,38 interviews, 10,17,29,39 questionnaires, 13,18,[32][33][34] and validated questionnaires such as the McCabe 12,[18][19][20]40 and the Blond McIndoe CISS. 11,15 In patients exposed to vibration tools (e.g., forestry workers, construction workers), Raynaud's disease, complex regional pain syndrome, or digital replantations and amputations, several laboratory tests have been used to study digital blood flow and skin temperature, for example, laser Doppler flowmetry, 31,40 -47 plethysmography to measure the amount of blood inflow, 27,34,43 finger systolic blood pressure, 26,33,48 -50 thermocouples on the skin, 4,…”