Swanson E, Boyd J B, Manktelow R T
Department of Surgery, Toronto General Hospital.
Plast Reconstr Surg. 1990 Feb;85(2):258-66.
Thirty-five consecutive patients treated with the radial forearm flap were reviewed. This flap was used in head and neck reconstruction in 25 patients, soft-tissue cover of an extremity in 9 patients, and as a new technique for penile reconstruction in 1 patient. Osteocutaneous flaps were used for mandibular reconstruction in 13 patients. In 6 patients innervated flaps were used to provide sensation on the dorsum of the hand or on the weight-bearing surface of the foot. There was only one total flap failure and no partial failures. Recipient-site complications were few, with prompt healing and very acceptable appearance. Donor-site complications included partial loss of the skin graft with tendon exposure in 10 patients (33 percent), an unsatisfactory appearance in 5 patients (17 percent), and one case of radial fracture (8 percent). On functional testing, there was no significant loss of strength or joint mobility in the donor extremity in 19/20 patients. The authors recommend measures to reduce donor-site morbidity and conclude that, with an acceptable donor site, this flap is valuable in a variety of reconstructive applications.
对连续35例接受桡侧前臂皮瓣治疗的患者进行了回顾性研究。该皮瓣用于25例头颈部重建、9例肢体软组织覆盖以及1例阴茎重建新技术。13例患者采用骨皮瓣进行下颌骨重建。6例患者使用带神经皮瓣在手背或足底负重面提供感觉。仅1例皮瓣完全失败，无部分失败病例。受区并发症较少，愈合迅速，外观非常令人满意。供区并发症包括10例患者（33%）皮肤移植部分丢失伴肌腱外露、5例患者（17%）外观不满意以及1例桡骨骨折（8%）。在功能测试中，20例患者中有19例供区肢体力量和关节活动度无明显丧失。作者推荐了减少供区并发症的措施，并得出结论，在供区可接受的情况下，该皮瓣在多种重建应用中具有价值。
