The Radial Forearm Flap In Reconstruction Of Upper Limb Injuries

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-07

Study Completion Date

2024-02-07

Brief Summary

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The radial forearm flap is a very useful and versatile flap with a long vascular pedicle and a thin, pliable skin. It's used in reconstruction of the mutilated hand as a reverse pedicled flap. The dominant pedicle is the radial artery, with venous outflow through the dual system of the venae comitantes and cephalic vein. Sensory innervation may be derived from the medial and lateral antebrachial cutaneous nerves. The radial forearm flap offers the advantage of a large area of donor tissue from the involved extremity with the potential for inclusion of bone, nerve, and tendon grafts. Sacrifice of the radial artery has not been associated with significant patient symptoms However, the donor defect can be troublesome, frequently requiring skin grafting directly over the paratenon of the flexor tendons, producing an undesirable donor site appearance

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Detailed Description

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Conditions

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for Upper Limb Soft Tissue Coverage

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Radial Forearm Flap

* Elevate the flap from ulnar to radial side toward the FCR
* Elevate flap from radial to ulnar side to the brachioradialis tendon. Ligate and divide the radial artery and venae comitantes distally.
* incise the skin over the cephalic vein proximally to the cubital fossa. Identify the venous branching pattern and perforating vein.
* Elevate the skin and subcutaneous paddles proximally off of the FCR and brachioradialis.
* Define the venous anatomy at the cubital fossa. In most cases, the median basilic vein and continuation of the median vein contribution to the cephalic vein can be harvested proximal to the perforating vein. This anatomy allows two large veins to be harvested that drain both the deep and superficial systems. Occasionally, one large vein will be identified.
* Closure is performed by harvesting a 0.018-inch skin graft to cover the donor defect. The radial skin edge should be advanced to cover the exposed radial nerve.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients aging 5 to 80 years.
* Soft Tissue defects following MCA injuries.
* Defect size less than 30 cm

Exclusion Criteria

* Peripheral vascular disease
* Underling bone osteomyelitis
* Unhealthy skin of volatile aspect of donor forearm
* Defect more than 30 cm
* Ulnar artery previous ligated

Minimum Eligible Age

5 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes