The Adipofascial Radial Artery Perforator Flap: A Versatile Reconstructive Option in Upper Limb Surgery.

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI:10.1142/S0218810415500227

Deepak Samson, Dominic M Power

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引用次数: 8

Abstract

Background: Flaps have been used in upper limb surgery for varied indications including coverage of soft tissue defects, interposition and to provide a pliable bed for gliding structures among others.

Methods: We report our use of the radial artery perforator based adipofascial flap in nine patients, five with rigid radioulnar synostosis, three with recalcitrant carpal tunnel syndrome and one with a soft tissue defect.

Results: All our patients with radioulnar synostosis regained good functional rotations of the forearm with no recurrence at follow up. The patients with recalcitrant carpal tunnel also had resolution of symptoms with no recurrence. The flap healed well in all the patients.

Conclusions: We propose this flap as a viable, versatile reconstructive option for the hand and upper limb.

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脂肪筋膜桡动脉穿支瓣:上肢手术的多功能重建选择。

背景:皮瓣已在上肢手术中用于各种适应症，包括软组织缺损的覆盖、介入和为滑动结构提供柔软的床等。方法:我们报告了9例桡动脉穿支型脂肪筋膜瓣的应用，其中5例为刚性尺桡关节闭锁，3例为顽固性腕管综合征，1例为软组织缺损。结果:所有尺桡关节闭锁患者在随访中均恢复了良好的前臂旋转功能，无复发。顽固性腕管患者症状也得到缓解，无复发。所有患者皮瓣均愈合良好。结论:我们认为这种皮瓣是一种可行的、多功能的手部和上肢重建选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand

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