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
1.Department of Burns, Liaoning Provincial Corps Hospital, Chinese People’s Armed Police Forces, Shenyang 110034, China;2.Dalian Hospital of Liaoning Provincial Corps Hospital, Chinese People’s Armed Police Forces, Dalian 116013, China
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.
2015, Vol. 26 
