Ultrathin oblique volar-to-dorsal reverse turnover radial artery perforator-based adipofascial flap: a new surgical strategy for reconstructing a complex dorsal hand tissue defect.
BACKGROUND
Adipofascial flaps used in reconstruction of various tissue defects have been described by many authors and have several advantages.


METHODS
A clinical report of an extensive dorsal hand traumatic soft tissue injury where a new ultrathin oblique volar-to-dorsal adipofascial reverse turnover flap based on radial artery distal perforators is presented. Its width-to-length ratio was 1:4 (the longest ever reported), designed to cover primary free tendon grafts and exposed metacarpal bones.


RESULTS
The technique has provided very good hand function and cosmetic outcome, minimum donor site morbidity, shortened rehabilitation, and no complications.


CONCLUSIONS
Adipofascial flaps constitute a functional and an aesthetic refinement in the reconstructive surgical techniques managing complex tissue defects of the dorsum of the hand, a new surgical strategy reported here.
Al Hoqail
Rola
R
Division of Plastic Surgery, King Faisal University, PO Box 116, Al-Khobar 31952, Saudi Arabia. ralhoqail@hotmail.com
D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D005205:Fascia / Q000637:transplantation; D005383:Finger Injuries / Q000601:surgery; D005547:Foreign Bodies / Q000601:surgery; D006225:Hand / Q000098:blood supply / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000601:surgery; D017534:Radial Artery / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply; D013710:Tendons / Q000637:transplantation