|
KMID : 0603120120210010021
|
|
Journal of the Korean Microsurgical Society
2012 Volume.21 No. 1 p.21 ~ p.26
|
|
|
The Radial Artery Superficial Palmar (RASP) Branch Free Flap for Finger Soft Tissue Reconstruction
|
|
Kim Yong-Jin
Suh Young-Suk
Lee Sang-Hyun
Hahm Dong-Gil
|
|
|
Abstract
|
|
|
The radial artery superficial palmar branch free flap is based on the perforators of the superficial palmar branch of the radial artery and its venae comitantes. This flap can be used as a sensible flap including palmar cutaneous branch of the median nerve. Forty radial artery superficial palmar branch free flaps were performed at Centum Institute during October 2010 to December 2011. There were 32 males and 8 females and their mean age were 48 years (range 30 to 66 years). The thumb injured in 13 patients, the index finger in 16 patients, the middle finger in 4 patients, the ring finger in 2 patients, and the little finger in 5 patients. The mean size of the flap was 2.5×3.5 cm(range 2×2.5 to 3×7 cm). The donor site was
always closed primarily. The overall survival rate was 90.2 percent. The flaps showed well-padded tissue with glabrous skin. All patients have touch sensation and showed 12 mm two point discrimination in an average(range 8 to 15 mm). Donor site morbidity was conspicuous. One patient showed unsightly scar. Early postoperative range of motion of the affected thumb showed slightly limited radial and palmar abduction. But it improved after postoperative 2 months, and patients did not complaint limitation of motion. In conclusion, the radial artery superficial palmar branch free flap can be used as an option for soft tissue reconstruction of finger defects where local or island flaps are unsuitable.
|
|
|
KEYWORD
|
|
|
Radial artery superficial palmar branch flap, Free flap, Finger defects
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|