Reconstruction of dorsal hand and finger defects with reverse radial fasciocutaneous forearm flaps

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dc.contributor.authorAcar, Mehmet Ali
dc.contributor.authorGüleç, Ali
dc.contributor.authorAydın, Bahattin Kerem
dc.contributor.authorErkoçak, Ömer Faruk
dc.contributor.authorElmadağ, Mehmet
dc.contributor.authorTürkmen, Faik
dc.date.accessioned2020-03-26T19:08:29Z
dc.date.available2020-03-26T19:08:29Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: To evaluate the midterm outcome and the degree of satisfaction of patients who underwent reconstruction of dorsal hand and finger defects with reverse flow radial fasciocutaneous forearm flaps and to test whether or not this is a reliable method which can be applied without the need for microsurgery. Patients and methods: Eleven patients were admitted with post-traumatic complex hand defects and treated by reconstruction with reverse flow radial fasciocutaneous forearm flaps from January 2010 to May 2013. The patient demographics, size of the hand and finger defects, and complications were recorded. The functional status of each of the patients was evaluated using the quick disabilities of the arm, shoulder and hand (DASH) scoring system, and patient satisfaction was assessed  using Likert scores. Results: The patients comprised nine males and two females with a mean age of 30.7 ± 9.7 years. The mean follow-up period was 18.4 ± 5.2 months. The average defect size was 41 ± 14.3 cm². None of the patients had circulation defects caused by the sacrifice of the radial artery. The mean quick DASH score was determined as 30.2 ± 15.3. The Likert patient satisfaction evaluation was good in one patient, and very good in ten patients. All flaps survived well with only two complications; superficial skin necrosis occurred at the suture site in one patient and venous insufficiency occurred in the other patient. Both complications recovered with secondary healing following wound debridement. Conclusions: The reverse-flow radial forearm flap is a reliable method in the management of dorsal defects of the hand and does not require micro-surgical techniques. © 2014, Springer-Verlag France.en_US
dc.identifier.doi10.1007/s00590-014-1544-7en_US
dc.identifier.endpage729en_US
dc.identifier.issn1633-8065en_US
dc.identifier.issue4en_US
dc.identifier.pmid25274204en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage723en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00590-014-1544-7
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32854
dc.identifier.volume25en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Franceen_US
dc.relation.ispartofEuropean Journal of Orthopaedic Surgery and Traumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectDorsal finger injuriesen_US
dc.subjectDorsal hand injuriesen_US
dc.subjectForearm injuriesen_US
dc.subjectRadial forearm flapsen_US
dc.subjectSurgical flapsen_US
dc.titleReconstruction of dorsal hand and finger defects with reverse radial fasciocutaneous forearm flapsen_US
dc.typeArticleen_US

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