[Evaluation of donor site morbidity after radial flap harvesting].
Donor sites of 58 radial forearm flaps in 56 patients were analysed and evaluated on the basis of documentation and follow-up examination. In 2 patients 2 radial flaps were harvested. There were 25 females and 31 males aged 9-85 (mean age: 35 years). 35 free flaps (31 on to feet, 2 on to tibial stumps and 2 on to contralateral forearm) and 4 pedicled flaps (on to the head) were transferred to distal body regions. Two of them included a part of the vascularized radius. The same upper extremity was covered with 19 pedicled radial forearm flaps (13 with retrograde blood flow). Six of them were osteo-fascio-cutaneous flaps. After harvesting 52 flaps (in 50 patients), the donor sites were covered with full or split thickness skin grafts. In 5 cases the donor sites were sutured, and in one case local V-Y plasty was used. In 11 cases the following complications were observed at the donor sites: delayed healing of the wound for more than 6 weeks in 4 cases;--chronic vascular insufficiency in 1 case;--dysesthesias on the dorsal part of the hand in 3 cases;--periodical pain and oedema of the hand in 2 cases;--unacceptable hypertrophic scar in 1 case. No acute ischemia of the hand, no fracture of the radial bone, and no neuroma of the sensory branch of the radial nerve were observed at the donor site.
Molski
M
M
Klinika Chirurgii Plastycznej, Centrum Medyczne Kształcenia Podyplomowego w Warszawie.
Stańczyk
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001132:Arm / Q000098:blood supply / Q000294:innervation; D002648:Child; D002921:Cicatrix / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005542:Forearm / Q000601:surgery*; D005543:Forearm Injuries / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D016491:Peripheral Vascular Diseases / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology*; D013524:Surgical Flaps / Q000009:adverse effects*; D014019:Tissue Donors / Q000706:statistics & numerical data*; D014945:Wound Healing