Clinical application of radial artery perforator flap for repair of defect in hand and wrist

XU Xuebing; SHI Changqian; ZHANG Bo; TANG Yifu; ZHANG Guiquan; LIN Lin

Medical Journal of the Chinese People Armed Police Forces ›› 2015, Vol. 26 ›› Issue (1) : 47-49.

ORIGINAL ARTICLES

Clinical application of radial artery perforator flap for repair of defect in hand and wrist

XU Xuebing¹, SHI Changqian², ZHANG Bo¹, TANG Yifu¹, ZHANG Guiquan¹, LIN Lin¹

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Abstract

Objective To evaluate the clinical curative effect of radial artery perforator reverse flap was utilized to repair the defect in hand and wrist. Methods From June 2007 to June 2014, 26 patients with defect in hand and wrist were treated with radial artery perforator reverse flap. According to the site, size and shape of defect, 6 cm above the radial styloid process as pivot point in 6 cases, located laterally to the tendon brachioradialis. Pivot point of the flap at 2 cm above the radial styloid process in 8 cases with body surface projection of radial artery as axial line. Midpoint of nasopharyngeal fossa as pivot point in 12 cases with axial line from radial styloid process to radial head. The biggest flap at 10 cm×8 cm and the smallest flap at 4 cm×3 cm were designed. Results 23 flaps completely survived, distal necrosis was seen in 3 flaps which healed by changing dressings. Followed up for 6 months, the function and appearance of hand and wrist were satisfying. Conclusions The radial artery perforator reverse flap is an ideal method for repairing the defect in hand and wrist due to its reliable and convenient qualities, no damage to the main blood vessel and acquiring a satisfied recovery of appearance and function.

Key words

perforating branch of radial artery / skin flap / wound / repair

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XU Xuebing, SHI Changqian, ZHANG Bo, TANG Yifu, ZHANG Guiquan, LIN Lin. Clinical application of radial artery perforator flap for repair of defect in hand and wrist[J]. Medical Journal of the Chinese People Armed Police Forces. 2015, 26(1): 47-49

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