Application of Reversed Radial Forearm Flap for Reconstruction of a Dorsal Hand Soft Tissue Defect: А Clinical Case

Abstract

Worldwide, surgical techniques for soft-tissue hand defects have made use of the reversed radial forearm flap. Generally, has been used in dorsal hand defects. In this case report, we showed the outcome of a case where the reversed radial forearm flap was applied to treat the dorsal hand defect. A 45-year-old patient who was injured in November 2020 as a result of stacking the right hand in the rotational mechanism. The injury was received 3 days before admission to the hospital. The first stage of surgical treatment was performed - necrectomy of the wound of the right hand. Afterwards, therapy using vacuum-assisted closure (V.A.C) was administered for 18 days. Once granulations had formed in the wound, the patient underwent the second phase of surgical intervention. The reversed radial forearm flap was turned and placed in order to close an opened, exposed bones and tendons in the dorsum of hand. There was no complication with flap viability in the postoperative period. Patient’s joint range of motion and vital functions were acceptable. This case showed that the Reversed Radial Forearm Flap can also be used in dorsal hand defects.Keywords: flap, pedicled flap, soft tissue injuries, hand injuries