title: Free Radial Forearm "Bunting" Flap for Reconstructing Soft-tissue Defects Involving Multiple Fingers.
abstract: Reconstruction of soft-tissue defects on multiple fingers is challenging because the number of recipient vessels for free flaps is limited. We report the use of a free radial forearm flap with multiple perforator-based skin islands for the reconstruction of complex soft-tissue defects involving multiple fingers. The injuries were caused by a heat press. The flap was transferred, like "bunting," to the injured hand with an exteriorized pedicle. The technique presented here is advantageous because it simultaneously covers multiple defects and allows immediate hand therapy after the operation.
authors.affiliation: Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Ataru
authors.initials: A
authors.lastname: Sunaga
authors.affiliation: Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Shunji
authors.initials: S
authors.lastname: Sarukawa
authors.affiliation: Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Kunio
authors.initials: K
authors.lastname: Miyazaki
authors.affiliation: Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Uda
authors.affiliation: Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sugawara