The blood supply of the bone component of the compound osteocutaneous radial forearm flap—An anatomical study

Cormack, George C.; Duncan, Mary Jean; Lamberty, B.G.H.; Griffiths, Richard W.

doi:10.1097/00006534-198706000-00071

Cited by 6 publications

(6 citation statements)

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“…Its advantages are a large skin paddle with reliable reversed perfusion [2]. But this flap should not be used in badly mutilated hands where the additional loss of the radial artery could compromise hand viability [5], though some authors have recommended that the flap can be raised in such cases if the pivot point is kept 5cm proximal to the wrist crease [6]. The ulnar artery based flap is based on the major arterial supply to the hand and sacrificing the ulnar artery is the major disadvantage of this flap.…”

Section: Discussionmentioning

confidence: 99%

Posterior Interosseous Artery Flap for Hand Defects

Dogra

Singh²,

Chakravarty³

et al. 2006

Medical Journal Armed Forces India

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Section: Discussionmentioning

confidence: 99%

Posterior Interosseous Artery Flap for Hand Defects

Dogra

Singh²,

Chakravarty³

et al. 2006

Medical Journal Armed Forces India

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“…14 The division of a single radial forearm flap to reconstruct bone defect of the second metacarpal and a softtissue defect over the dorsum of the left hand. Matev 10 used an additional vein graft to overcome the problem of venous congestion.…”

Section: Discussionmentioning

confidence: 99%

Reverse Osseofasciocutaneous Radial Forearm Flap for Thumb Reconstruction: A Flap Design and Case Series

El-Khatib

Hammouda

2005

The Journal of Hand Surgery

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“…Good bleeding was observed from the surface of the fascia as well as pulsations of the artery, so that viability of the flap was quite easily assessed [8,39]. This is why the flap is not covered with split skin graft immediately after the operation, although a PPG monitor can be used to register flap circulation through the skin graft.…”

Section: Discussionmentioning

confidence: 99%

“…Using the experience of Cormack and Lamberty [7,8] who reported the existence of a septofascial layer in the forearm, as well as the experience of Soutar and Tanner [34], who suggested the possible use of the forearm flap as a septofascial flap, we decided to employ a forearm fascial flap.…”

mentioning

confidence: 99%

Experience with the forearm septofascial flap

et al. 1992

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Fascia has a well vascularized surface, and when it is covered with a split skin graft, it provides the thinnest possible flap. The authors present their own experience with the use of the forearm septofascial flap in 23 patients. A free septofascial flap was used in 15 patients and an island flap in 8 patients. Seven days later, only 25% of the patients had complete take of the split skin graft, while in 60% of the cases, there was only partial take of the graft. The results at 6 months, regarding appearance of the flap and donor site, were good. In 2 patients, a composite osteofascial flap was used for reconstruction of the mandible. In those patients, the viability of the bone was assessed with scintigraphy. There were no significant complications with the donor site. The forearm septofascial flap proved to be a good and reliable method of reconstruction in those parts of the body where thin cover was required. Constant anatomy and minimal postoperative complications are great advantages of the forearm septofascial flap when compared with other fascial flaps.A large number of assorted free flaps are now available for use in plastic and reconstructive surgery. Unfortunately, the results are not always satisfactory, particularly in areas with thin, soft tissue cover, e.g. hand, lower leg and foot. Even very thin flaps are sometimes too bulky in such cases.Fox [12] and Erol [9] described a method of vascularizing skin grafts using temporalis fascia which was then pedicled as a flap. Smith [32] and Brent [4] used fascia in combination with a free skin graft for reconstruction

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The blood supply of the bone component of the compound osteocutaneous radial forearm flap—An anatomical study

Cited by 6 publications

References 0 publications

Posterior Interosseous Artery Flap for Hand Defects

Posterior Interosseous Artery Flap for Hand Defects

Reverse Osseofasciocutaneous Radial Forearm Flap for Thumb Reconstruction: A Flap Design and Case Series

Experience with the forearm septofascial flap

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