Extensive Hand Coverage with the Reversed Radial Forearm Flap

Abstract

The patient was a 21-year-old woman who sustained an injury to the dorsum of her nondominant hand in a motor vehicle accident. Her hand was outside the vehicle when it rolled over, resulting in loss of skin and extensor tendons and fracture of all four finger metacarpals (Figure 8.1). Her initial care included surgical debridement and pinning of her metacarpals (Figure 8.2). The dorsal wrist ligaments were also repaired. Several debridements were required to achieve a clean wound. Consultation was received at 8 days postinjury.