Suprafascial dissection of the radial forearm flap and donor site morbidity

An Alternative Method of the Direct Closure for the Radial Forearm Flap Donor-Site Defect: Lazy S Double-Opposing Rotation Flaps

“…[2][3][4][5][6][7][8] In such methods, the V-Y advancement flap has been mainly used for the direct closing of the radial forearm flaps donor site because of its simple design.…”

“…Elliot et al (1988) reported the direct closure method for donor-site defects of the radial forearm flap using the V-Y flap, and several modifications have been reported based on their methods. [1][2][3][4][5][6][7][8] However, partial skin necrosis sometimes occurs along the lateral side of the flap even though the perforators from ulnar artery are preserved well, and this necrosis leaves ugly wide scarring on patients' forearms (►Fig. 1).…”

The Forearm Flap - Indications, Appropriate Selection, Complications and Functional Outcome

“…above a tendon, opposite results can be found as well. Other studies showed a complete loss of the split-thickness skin graft in 8 ) -16% , a partial loss in 16-35% (Bardsley et al, 1990;, and a loss of splitthickness skin grafts in suprafascial elevated flaps in 0-4% (Avery et al, 2001, Chang et al, 1996. Patients are more content with full skin grafts than with splitthickness grafts: 92% to 57% .…”

Chinese forearm flap technique in thumb injury: a case report

“…12,15 Hülsbergen-Krüger et al, described in their group of 267 patients after closing the defect with split-thickness graft, reduced pigmentation in 43.4%, increased pigmentation in 15%, level differences >0.1cm in 46.8%, but in only 12% >0.4cm, an unstable scar in 10.5% and an adherence of the defect in 18.7%. 16 Adequate compression, first with dressings and later with compression stockings, and the application of 2 mm metal plates can assist the wound healing.…”

“…Other studies showed a complete loss of the split-thickness skin graft in 8-16%, a partial loss in 16-35% and a loss of splitthickness skin grafts in suprafascial elevated flaps in 0-4%. 7,13,15,17,18 Patients are more content with full skin grafts than with split thickness grafts: 92% to 57%. 17 Defects up to 4x8cm in size can be closed with a V-Y transposition flap.…”