[Blood supply of wrist and forearm after exclusion of radial vascular fascicle of all length from blood stream].
The arm and forearm are commonly used in plastic and reconstructive surgery as a donor site for harvesting free microsurgical revascularized autografts, which include not only soft tissues, but when necessary, a fragment of radial bone as well. The radial autograft is taken together with radial vascular bundle, the radial artery is so being excluded from participation in hand and forearm blood flow. Until now there are no common opinion of expedient reconstruction of the radial artery because there are no evidence of visible blood flow disturbances in the hand. There are no convincing data on the functional status of the hand in long-term postoperative period and on the ways and degree of compensation of circulation. It is very important that evaluation of the ways and degree of blood flow compensation may play a great part in the problem of hand replantation, that is to determine the influence of the extent of blood flow restoration not only on hand viability, but on the long-term functional outcome as well. This investigation has revealed impaired blood supply and metabolism in hand soft tissues and bones by using the forearm as a donor site for taking free microsurgical revascularized autografts by radionuclide and ultrasound methods.
N O
NO
Milanov
A G
AG
Umerenkov
D001783:Blood Flow Velocity; D005500:Follow-Up Studies; D005542:Forearm / Q000098:blood supply* / Q000601:surgery; D006801:Humans; D008866:Microsurgery; D017534:Radial Artery / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures; D014953:Wrist / Q000098:blood supply* / Q000601:surgery
Krovosnabzhenie kisti i predplech'ia posle vykliucheniia iz krovosnabzheniia luchevogo sosudistogo puchka na protiazhenii.