NCT06319586

The Radial Forearm Flap In Reconstruction Of Upper Limb Injuries

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 20 (actual)
• Sponsor: Sohag University · Academic / Other
• Sex: All
• Age: 5 Years – 80 Years
• Healthy volunteers: Accepted

Summary

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

Conditions

• for Upper Limb Soft Tissue Coverage

Interventions

Type	Name	Description
PROCEDURE	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.

Timeline

• Start date: 2024-02-07
• Primary completion: 2024-02-07
• Completion: 2024-02-07
• First posted: 2024-03-20
• Last updated: 2024-03-20

Locations

1 site across 1 country: Egypt