FLAPS pp 151-165 | Cite as

Extensive Hand Coverage with the Reversed Radial Forearm Flap

  • James C. Grotting
  • Carl C. Askren


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.


Donor Site Island Flap Free Tissue Transfer Radial Forearm Flap Intermuscular Septum 
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  1. 1.
    Mehrotra ON, Crabb DJM. The pattern of hand injury sustained in the overturning motor vehicle. Hand 1979;11:321–328.PubMedCrossRefGoogle Scholar
  2. 2.
    Timmons MJ. The vascular basis of the radial forearm reconstruction. Plast Reconstr Surg 1986;77:80–92.PubMedCrossRefGoogle Scholar
  3. 3.
    Lister GD, Scheker LR. Emergency free flaps to the upper extremity. J Hand Surg 1988;13A:22–28.Google Scholar
  4. 4.
    Lister GD. Emergency free flaps. In: Green DP, editor. Operative hand surgery. 1988;2:1127–1149.Google Scholar
  5. 5.
    Godina M. Early microsurgical reconstruction of complex trauma of the extremities. Plast Reconstr Surg 1986;78:285–292.PubMedCrossRefGoogle Scholar
  6. 6.
    Breidenbach WC III. Emergency free tissue transfer for reconstruction of upper extremity wounds. Clin Plast Surg 1989;16:505–514.PubMedGoogle Scholar
  7. 7.
    Acland, RD. Refinements in lower extremity free flap surgery. Clin Plast Surg 1980;17:733–744.Google Scholar
  8. 8.
    Millard DR Jr. Principalization of Plastic Surgery. Boston: Little, Brown and Company, 1986.Google Scholar
  9. 9.
    Strausch B, Vasconez LO, Findley-Hall EJ, editors. Grabb’s encyclopedia of Flaps. Vol. II. Boston: Little, Brown and Company, 1990.Google Scholar

Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • James C. Grotting
    • 1
  • Carl C. Askren
    • 2
  1. 1.Department of Surgery Division of Plastic SurgeryUniversity of Alabama at BirminghamBirminghamUK
  2. 2.Department of SurgeryUCSF-FresnoFresnoUSA

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