Forearm flap in orthopaedic and hand surgery

dc.contributor.authorSoucacos, P. N.en
dc.contributor.authorBeris, A. E.en
dc.contributor.authorXenakis, T. A.en
dc.contributor.authorMalizos, K. N.en
dc.contributor.authorTouliatos, A. S.en
dc.date.accessioned2015-11-24T19:15:29Z
dc.date.available2015-11-24T19:15:29Z
dc.identifier.issn0738-1085-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21522
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectAgeden
dc.subjectArm/*surgeryen
dc.subjectFemaleen
dc.subjectForearmen
dc.subjectGraft Survivalen
dc.subjectHand/*surgeryen
dc.subjectHumansen
dc.subjectLeg/*surgeryen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPatient Satisfactionen
dc.subjectReoperationen
dc.subjectSkin Transplantation/*methods/pathologyen
dc.subjectSurgical Flaps/*methods/pathologyen
dc.subjectTendon Transfer/methodsen
dc.titleForearm flap in orthopaedic and hand surgeryen
heal.abstractThis study was undertaken in order to evaluate the usefulness of the forearm flap in reconstruction of severe injuries of the upper and lower extremities. A total of 34 patients with extensive skin defects of the upper and lower extremities were treated using radial forearm flaps during the last 4 years. Twenty-four patients had lower extremity injuries, while the remaining ten had upper extremity reconstruction. In two patients, the radial forearm flap was used as an island flap in retrograde direction for coverage of skin defects of the dorsum of the hand. In two patients, the palmaris longus tendon was included in the flap to reconstruct the extensor tendon of the index finger. In one patient, it was used as an innervated flap to cover a skin neurotrophic defect of the sole of the foot. None of the patients had the bony portion of the radius included. Of the 34 flaps, 29 survived. Of the remaining 5, 3 failed totally and 2 partially. The 2 partially failed flaps required reoperation and revision of the venous anastomosis, which was found to be occluded. The patients, eight women and twenty-six men, were examined and questioned regarding the cosmetic appearance of the donor site. The final cosmetic appearance was acceptable to all patients. We conclude that the radial forearm flap is a useful, easily elevated flap, suitable for skin defects of upper and lower extremities. Major advantages of the flap are its ability to be used as an island flap and that the surgery can be performed under axillary block anaesthesia.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/1495375-
heal.journalNameMicrosurgeryen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate1992-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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