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Reverse Radial Forearm Fascial Flap With Radial Artery Preservation

  • Original Article
  • Published:
HAND

Abstract

The reverse radial forearm fascial (RRFF) flap is widely used in soft-tissue reconstruction of the hand. The traditional RRFF flap incorporates the radial artery from the forearm and is perfused by retrograde flow through the palmar arch. In patients with an abnormal Allen test because of an incomplete palmar arch, the traditional RRFF flap is contraindicated unless a vein graft is used to reconstruct the radial artery. A simpler alternative approach for hand reconstruction in such patients is a distally based RRFF flap based on radial artery perforators, which preserves the radial artery. We used RRFF flaps based on radial artery perforators in five patients who had palmar or dorsal soft-tissue loss. All five recovered full hand function, and only one had any complications (full-thickness skin graft loss at recipient site). The RRFF flap based on distal radial artery perforators is suitable for thin coverage of soft-tissue defects in hands with either a complete or an incomplete palmar arch.

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Abbreviations

RRFF:

reverse radial forearm fascial

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Authors and Affiliations

  1. Division of General Surgery, Mayo Clinic, Scottsdale, AZ, USA

    Adam J. Hansen

  2. Department of Orthopedics, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ, 85259, USA

    Scott F. M. Duncan

  3. Division of Plastic and Reconstructive Surgery, Mayo Clinic, Scottsdale, AZ, USA

    Anthony A. Smith

  4. Department of Orthopedic Research, Mayo Clinic, Rochester, MN, USA

    Alexander Y. Shin & Allen T. Bishop

  5. Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA

    Steven L. Moran

Authors
  1. Adam J. Hansen
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  2. Scott F. M. Duncan
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  3. Anthony A. Smith
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  4. Alexander Y. Shin
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  5. Steven L. Moran
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  6. Allen T. Bishop
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Correspondence to Scott F. M. Duncan.

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Hansen, A.J., Duncan, S.F.M., Smith, A.A. et al. Reverse Radial Forearm Fascial Flap With Radial Artery Preservation. HAND 2, 159–163 (2007). https://doi.org/10.1007/s11552-007-9041-7

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  • DOI: https://doi.org/10.1007/s11552-007-9041-7

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