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KMID : 0358819860130010039
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1986 Volume.13 No. 1 p.39 ~ p.45
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RECONSTRUCTION OF HAND USING RADIAL FOREARM FLAP
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Kim Hyun-Chul
Kim Yong-Sung
Oh Suck-Joon
Lee Se-Il
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Abstract
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Following its introduction as free flap by Dr. Yang in 1978 the forearm flap based on the radial artery has been used as an island-skin flap or as a compound flap including vascularized nerve, bone or tendons in patient with problem of reconstruction in hand. It has proved to be one of safest, extremely versatile, simple and effective one stage method of soft tissue reconstruction in hand. Surgery is confined to a single limb permitting regional anesthesia and early postoperative mobilisation and rehabilitation.
We have experienced 3 cases of distally-based island forearm flap for soft tissue reconstruction is a patient of crushing injury on hand, a patient with foreign body granuloma on dorsum of hand due to parffin implantation and a patient with first web space contracture due to posttraumatic scar contracture and 1 case of distally-pedicled vascularized radial bone graft for reconstruction of third metacarpal bone. The results of these operation have been exceedingly satisfactory.
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