title: Tendofascial island flap based on distal perforators of the radial artery: anatomical and clinical approach.
abstract: The possibility of transferring vascularized tissue to restore function and to resurface large defects, together with the use of composite flaps, has led to recent advances in "one-stage" reconstructive surgical procedures. On the basis of a previous study of the blood supply of the adipofascial flap and a new study of the blood supply of the flexor carpi radialis tendon from the transfascial and direct branches of the radial artery, a fascial island flap complete with tendon was devised and used to treat four male patients who had sustained traumatic soft-tissue losses on the dorsum of the hand and segmental losses of the extensor digitorum communis. The use of a completely vascularized, single-stage, composite flap did not involve sacrifice of the radial artery, the functional and aesthetic results were good, and there was minimal donor-site morbidity.
authors.affiliation: Department of Plastic Surgery, Rumailah Hospital, Doha, State of Qatar. hamdyel@yahoo.com
authors.forename: Hamdy A
authors.initials: HA
authors.lastname: El-Khatib
mesh_terms: D000328:Adult; D005205:Fascia / Q000098:blood supply; D006225:Hand / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D017534:Radial Artery / Q000033:anatomy & histology; D013524:Surgical Flaps / Q000098:blood supply*; D013710:Tendons / Q000098:blood supply