Reverse radial artery flap for soft tissue defects of hand in pediatric age group.

نویسندگان

  • Saeed Ashraf Cheema
  • Nabeela Talaat
چکیده

BACKGROUND To highlight the usefulness of reverse radial artery flap in covering various soft tissue defects of hand in paediatric age group. METHODS A total of 16 reverse radial artery flaps were utilized in a period of three years to cover various soft tissue defects of hand for paediatric age group patients. The age ranged from 5-18 years. The two common causes of soft tissue defects in this series were mechanical trauma and fireworks trauma with five cases in each group. Three of the cases were burn victims and other two presented with earth quake injuries. One patient had wound because of road traffic accident. Soft tissue defects of palm were covered with this flap in eight cases while in three cases it was wrapped around the thumb. First web space defects were covered with this flap in two cases. Two cases required coverage of amputation stump at transmetacarpal level and yet another required a big flap to cover the soft tissue defects at palm, dorsum and thumb. Donor site was covered with split skin graft in all cases but one, which was closed primarily. RESULTS We had partial loss of flap in one case. Grafted donor sites healed uneventfully and were quite acceptable to the patients in due course of time. CONCLUSION Reverse radial artery flap has a quite long arc of rotation which brings it great ease to cover the soft tissue defects of various areas of hand like palm, dorsum, first web space and thumb.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Effectiveness of the Gastrocsoleous Flap for Coverage of Soft Tissue Defects in Leg with Emphasis on the Distal Third

Background: The standard methods for reconstruction of soft tissue defects in the leg include gastrocnemius flap for proximal third defects, soleus flap for middle third and free flap in the distal third. However, there are problems with the use of free flap, like increased operative time, damage of major vessels and the need for experienced microsurgeon. Mathods: This prospective study was und...

متن کامل

Reverse Peroneal Artery Flap for Large Heel and Sole Defects: A Reliable Coverage

BACKGROUND Large soft tissue defects of ankle and foot always have been challenging to reconstruct. Reverse sural flaps, free flaps have been used for this problem with variable success. Reverse peroneal artery flap is an option to use with reliability without microvascular repair. Connections of peroneal artery around talus and ankle joint are deep and reliable with anterior tibial and post...

متن کامل

Effectiveness of the gastrocsoleous flap for coverage of soft tissue defects in leg with emphasis on the distal third

Introduction: The standard methods for reconstruction of soft tissue defects in legs are gastrocnemius flap for proximal third defects, soleus flap for middle third and free flap in the distal third. However, there are problems with the use of free flap, like increased operative time, damage of major vessels and the need for experienced microsurgeon. In this study we examined the ability of the...

متن کامل

Radial Forearm Flap versus Radial Adipofascial Perforator Based Flap for Reconstruction of Hand Soft Tissue Defects

Background: Reconstruction of soft tissue defects of the hand possesses a challenge to the plastic and reconstructive surgeons. In recent years, the radial forearm fasciocutaneous flap has been used extensively to cover hand soft tissue defects. With the routine use of this flap some drawbacks have become apparent. The need to sacrifice the radial artery during the harvest of the flap and the d...

متن کامل

طراحی جدید از فلپ سورال برای ضایعات مچ و پاشنه

Background: A sural artery flap is a fasciocutaneous one based on the reverse blood flow and the anastomosis between the superficial sural artery and the perforators of peroneal artery. This flap is used in order to reconstruct the soft tissue defects of the distal leg, ankle and heel and also to cover the vessels, tendons and bones. It is possible to cover the defects in size 10*12 cm with thi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Journal of Ayub Medical College, Abbottabad : JAMC

دوره 21 1  شماره 

صفحات  -

تاریخ انتشار 2009