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J Reconstr Microsurg 2003; 19(1): 003-006
DOI: 10.1055/s-2003-37183
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Oblique Radial Forearm Reverse-Flow Flap

Mustafa Akyürek, Tunç Şafak, Abdullah Keçik
  • Department of Plastic Surgery, Hacettepe University Medical School, Ankara, Turkey
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Publication History

Publication Date:
12 February 2003 (online)

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ABSTRACT

A modifed design for the distally-based radial forearm flap is presented, in an oblique direction rather than longitudinally, based on the existence of skin laxity in the proximal forearm region. The skin paddle of the flap is designed in an oblique fashion pedicled on one of the proximal-row septocutaneous perforators, and elevated in the usual manner supplied by the distal radial artery. The oblique radial forearm flap thus created was successfully utilized for reconstruction of seven dorsal hand defects. Results showed that all the flaps could easily be transposed to the defect through a wide arc of rotation and all survived totally, with direct closure of the donor site in five cases, and significant reduction in size in the remaining two cases. It was concluded that the oblique design for the skin island of the reverse radial forearm flap could allow creation of a flap that has a smaller donor defect and yet presents a longer pedicle length, with a wider arc of rotation and better adaptation to a dorsal hand defect, than a conventional longitudinal-design radial forearm flap.

KEYWORD

Radial forearm flap - oblique - reverse flow

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