Otene Ci, Achebe Ju, Ogbonnaya Is
Delta State University Teaching Hospital, Oghara, Delta State Burns and Plastic Surgery Unit, Surgery Department Nigeria.
University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State, Burns and Plastic Surgery Unit, Surgery Department, Nigeria.
J West Afr Coll Surg. 2011 Jan;1(1):131-44.
The Radial Forearm Flap is a fasciocutaneous flap which has established its role in soft tissue reconstruction in the head and neck region as a free flap. Its value as a useful flap in soft tissue reconstruction in upper limb injuries has also been recognized. However there has been a dearth of report in our sub region on the use of this flap.
To report the use of Radial Forearm Flap in the reconstruction of traumatic defects in the elbow and hand in our centre.
Four cases in which pedicled island Radial Forearm Flaps were successfully used to reconstruct difficult defects in the elbow and hand following injuries were reviewed.
Four pedicled island Radial Forearm Flaps were used to reconstruct soft tissue defects in four sites in the upper limb following trauma. One of the flaps was proximally based for coverage of lateral elbow defect while the others were used to cover defects of dorsum of wrist, mid palmar amputation and first web space. The first web space defect required a fascial flap and split skin graft cover. All the procedures were single staged and the flaps survived providing dependable soft tissue cover.
The pedicled radial forearm flap was effective in providing skin cover of difficult soft tissue defects in the elbow, wrist and hand of our patients. It is a single stage procedure which allowed for early mobilization of the limb. Design and elevation of the flap was not as technically demanding as microsurgical tissue transfer which is still in its infancy in most developing countries like Nigeria.
桡侧前臂皮瓣是一种筋膜皮瓣，作为游离皮瓣在头颈部软组织重建中已确立了其作用。其在上肢损伤软组织重建中作为有用皮瓣的价值也已得到认可。然而，在我们这个次区域，关于使用这种皮瓣的报道却很少。
报告在我们中心使用桡侧前臂皮瓣重建肘部和手部创伤性缺损的情况。
回顾了4例成功使用带蒂岛状桡侧前臂皮瓣重建肘部和手部损伤后难愈缺损的病例。
4个带蒂岛状桡侧前臂皮瓣用于重建上肢4个部位的软组织缺损。其中1个皮瓣以近端为蒂，用于覆盖肘部外侧缺损，其他皮瓣用于覆盖腕背部缺损、手掌中部截肢和第一掌骨间隙缺损。第一掌骨间隙缺损需要筋膜瓣和中厚皮片覆盖。所有手术均为一期完成，皮瓣存活，提供了可靠的软组织覆盖。
带蒂桡侧前臂皮瓣有效地为我们患者肘部、腕部和手部难愈的软组织缺损提供了皮肤覆盖。这是一种一期手术，可使肢体早期活动。皮瓣的设计和掀起在技术上不像显微外科组织移植那样要求苛刻，而显微外科组织移植在尼日利亚等大多数发展中国家仍处于起步阶段。
