The radial Chinese flap at the expense of the palmar radiocarpal arch. A case report.
The retrograde flow Chinese flap has been shown to be a useful cover for extensive losses of palm tissue. We report a case in which vascularization was based on the palmar radiocarpal arch, with angiographic verification, in view of the post-injury absence of palmar arches. Considering the results obtained, the technical modifications introduced with respect to earlier studies are described (flap pivoting 2 cm from the Lister tubercle), and the palmar anastomotic network of the carpal bones is proposed as a new end effective vascular axis in the preparation of retrograde flow antebrachial axial flaps with an intact volar radiocarpal region.
Gutierrez de la Cámara
A
A
Department of Plastic and Reconstructive Surgery, Centro Médico Povisa, Pontevedra, Spain.
Sanz
J R
JR
Moledo
E
E
Gómez
B
B
Iglesias
L
L
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D000714:Anastomosis, Surgical; D000792:Angiography; D002348:Carpal Bones / Q000601:surgery; D005205:Fascia / Q000637:transplantation*; D005383:Finger Injuries / Q000601:surgery; D005500:Follow-Up Studies; D006085:Graft Survival; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries / Q000601:surgery; D017534:Radial Artery / Q000637:transplantation; D011884:Radius / Q000601:surgery; D012092:Replantation; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods*; D013933:Thumb / Q000293:injuries / Q000601:surgery; D017535:Ulnar Artery / Q000637:transplantation