Radial forearm flap plus Flexor Carpi Radialis tendon in Achilles tendon reconstruction: Surgical technique, functional results, and gait analysis

Microsurgery ◽  
2015 ◽  
Vol 35 (8) ◽  
pp. 608-614 ◽  
Author(s):  
Marco Innocenti ◽  
Massimiliano Tani ◽  
Christian Carulli ◽  
Serena Ghezzi ◽  
Andrea Raspanti ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Achilles Tendon ◽  
Gait Analysis ◽  
Functional Results ◽  
Radial Forearm Flap ◽  
Tendon Reconstruction ◽  
Forearm Flap ◽  
Flexor Carpi Radialis ◽  
Radial Forearm ◽  
Achilles Tendon Reconstruction

scholarly journals Refinement of the free radial forearm flap reconstructive technique after resection of large oropharyngeal malignancies with excellent functional results

Head & Neck ◽  
2003 ◽  
Vol 25 (9) ◽  
pp. 772-777 ◽  
Author(s):  
Mieke Moerman ◽  
Hubert Vermeersch ◽  
Kristiane Van Lierde ◽  
Hossein Fahimi ◽  
Paul Van Cauwenberge
Keyword(s):  
Functional Results ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Free Radial Forearm Flap ◽  
Radial Forearm ◽  
Reconstructive Technique

scholarly journals Microvascular skin coverage in wounds that expose the Achilles tendon

2021 ◽  
Vol 9 (12) ◽  
pp. 3733
Author(s):  
Baltazar Barrera-Mera ◽  
Israel Salgado-Adame ◽  
Obed Horacio Grajeda-Chávez ◽  
Jazmín Danaé Chávez-Hernández ◽  
Cuauhtémoc Aguilar-Barragán ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Achilles Tendon Rupture ◽  
Free Flaps ◽  
The Body ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Skin Defects ◽  
Free Radial Forearm Flap ◽  
Radial Forearm ◽  
Skin Coverage

Achilles tendon rupture is one of the most frequent tendon ruptures. Surgical intervention is the best option, but it has a high rate of complications leading to skin infections and necrosis. Extensive and aggressive debridement is necessary, producing tendon exposure and large skin defects. There are many alternatives for the skin coverage of the Achilles tendon, like sequential closures, vacuum assisted closure, local flaps, regional flaps, and more recently and efficiently microsurgery flaps. Skin defects in the Achilles tendon region have many peculiarities in comparison with other parts of the body: it is a zone that is always under mechanical stress due to footwear, this is why it must be highly resistant but thin. Its coverage must have sensitive properties, endure tendon gliding and allow early rehabilitation. Sometimes tendon reinforcement or creation or a neo tendon will be needed. For fulfilling these requirements free flaps by microsurgery are the only option in 90% of the cases. In this review article, we analyze three of the most frequently used free flaps in reconstructive medicine for complex Achilles tendon defects; free radial forearm flap, free radial forearm flap with vascularized flexor carpi radialis tendon and free anterolateral thigh (ALT) flap with vascularized fascia lata. This choice will be determined by the number of tissues involved, size of the defect, etiology of the defect, overall condition of the affected extremity and quality of neighboring tissues.

scholarly journals Reconstructive Surgery for Severe Penile Inadequacy: Phalloplasty with a Free Radial Forearm Flap or a Pedicled Anterolateral Thigh Flap

2008 ◽  
Vol 2008 ◽  
pp. 1-5 ◽  
Author(s):  
N. Lumen ◽  
S. Monstrey ◽  
P. Ceulemans ◽  
E. van Laecke ◽  
P. Hoebeke
Keyword(s):  
Free Flaps ◽  
Functional Results ◽  
Good Alternative ◽  
Radial Forearm Flap ◽  
Anterolateral Thigh Flap ◽  
Forearm Flap ◽  
Free Radial Forearm Flap ◽  
Anterolateral Thigh ◽  
Aesthetic Results ◽  
Radial Forearm

Objectives. Severe penile inadequacy in adolescents is rare. Phallic reconstruction to treat this devastating condition is a major challenge to the reconstructive surgeon. Phallic reconstruction using the free radial forearm flap (RFF) or the pedicled anterolateral thigh flap (ALTF) has been routinely used in female-to-male transsexuals. Recently we started to use these techniques in the treatment of severe penile inadequacy.Methods. Eleven males (age 15 to 42 years) were treated with a phallic reconstruction. The RFF is our method of choice; the ALTF is an alternative when a free flap is contraindicated or less desired by the patient. The RFF was used in 7 patients, the ALTF in 4 patients. Mean followup was 25 months (range: 4–49 months). Aesthetic and functional results were evaluated.Results. There were no complications related to the flap. Aesthetic results were judged as “good” in 9 patients and “moderate” in 2 patients. Sensitivity in the RFF was superior compared to the ALTF. Four patients developed urinary complications (stricture and/or fistula). Six patients underwent erectile implant surgery. In 2 patients the erectile implant had to be removed due to infection or erosion.Conclusion. In case of severe penile inadequacy due to whatever condition, a phalloplasty is the preferred treatment nowadays. The free radial forearm flap is still the method of choice. The anterolateral thigh flap can be a good alternative, especially when free flaps are contraindicated, but sensitivity is markedly inferior in these flaps.

scholarly journals Study of the tendinous vascularization for the compound radial forearm flap plus flexor carpi radialis tendon

2015 ◽  
Vol 38 (4) ◽  
pp. 409-414
Author(s):  
Andrea Raspanti ◽  
Luca Delcroix ◽  
Serena Ghezzi ◽  
Marco Innocenti
Keyword(s):  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Flexor Carpi Radialis ◽  
Radial Forearm

A Head-to-Head Comparison of the Medial Sural Artery Perforator versus Radial Forearm Flap for Tongue Reconstruction

2020 ◽  
Author(s):  
Marcus J.M. Ng ◽  
Cindy S.L. Goh ◽  
Ngian Chye Tan ◽  
David H. Song ◽  
Adrian S.H. Ooi
Keyword(s):  
Donor Site ◽  
Functional Results ◽  
Radial Forearm Flap ◽  
Tertiary Referral Center ◽  
Forearm Flap ◽  
Radial Forearm ◽  
Tongue Reconstruction ◽  
Sural Artery ◽  
Artery Perforator ◽  
Partial Glossectomy

Abstract Background For tongue reconstruction, the radial forearm flap (RFF) is commonly used. In the last decade, the medial sural artery perforator (MSAP) flap has been successfully used with reportedly superior donor-site outcomes. Our study is the first to compare the RFF and MSAP for reconstruction of partial glossectomy defects (<50% of tongue). Methods We conducted a retrospective review of 20 patients with partial glossectomy defects reconstructed at a tertiary referral center. Patient demographics, perioperative data, and postoperative complications were analyzed. Objective measures of speech, swallowing, and subjective patient satisfaction with their donor site were recorded. Results Ten RFF and MSAP were each used, with a mean partial glossectomy defect size of 40.5 and 43.5%, respectively. The MSAP was significantly thicker (7.8 vs. 4.3 mm, p < 0.05) with a longer harvest time (122.5 vs. 75.0 minutes, p < 0.05). There were no cases of free flap failure. Donor-site healing times were comparable, but the MSAP group experienced significantly less donor-site complications (n = 1 vs. n = 7, p < 0.05). Functional outcomes were comparable with 13 patients achieving normal speech and diet after 3 months (MSAP = 6 vs. RFF = 7, p = 1.00). All patients were satisfied with their donor-site outcome with the MSAP group having a marginally higher score. Conclusion Both flaps are good options for partial glossectomy reconstruction. Though more challenging to harvest, the MSAP gives comparable functional results and has become our first reconstructive option given its superior donor-site outcomes.

Aesthetic and functional results of harvesting radial forearm flap, especially with regard to hand function

2001 ◽  
Vol 30 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Hengameh Toschka ◽  
Hartmut Feifel ◽  
Hans-Josef Erli ◽  
Ralf Minkenberg ◽  
Othmar Paar ◽  
...  
Keyword(s):  
Hand Function ◽  
Functional Results ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Radial Forearm

scholarly journals Two-Stage Prelaminated Mucosal Neourethra Radial Forearm Flap Phalloplasty for Transgender Men

2021 ◽  
pp. 1-6
Author(s):  
Christopher J. Salgado MD ◽  
Ajani Nugent MD ◽  
Josef Hadeed MD ◽  
Maria Lalama BS ◽  
Jorge Rey MD ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Retrospective Review ◽  
Gender Dysphoria ◽  
Standing Position ◽  
Radial Forearm Flap ◽  
Two Stage ◽  
Forearm Flap ◽  
Patient Demographics ◽  
Radial Forearm ◽  
Transgender Men

Background: Our goal in the construction of the transman phalloplasty is not only to decrease the patient’s level of gender dysphoria, obviate the use of an external prosthesis, give the patient the ability to urinate in the standing position and orgasm but also to decrease urinary complications. Material and Methods: A retrospective review of transmen patients from June 2016 to June 2018 was performed on patients undergoing a two- stage mucosa only prelaminated neourethra radial forearm flap phalloplasty. The surgical technique is detailed in addition to patient demographics including co-morbidities, flap complications, and urinary sequelae.

Total Ear Reconstruction with Prelaminated Radial Forearm Flap

2006 ◽  
Vol 22 (03) ◽  
Author(s):  
Catarina Rober ◽  
Fabio Aki ◽  
Luis Ishida ◽  
Julio Morais
Keyword(s):  
Radial Forearm Flap ◽  
Ear Reconstruction ◽  
Forearm Flap ◽  
Radial Forearm
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