title: The Adipofascial Radial Artery Perforator Flap: A Versatile Reconstructive Option in Upper Limb Surgery.
abstract: BACKGROUND
  Flaps have been used in upper limb surgery for varied indications including coverage of soft tissue defects, interposition and to provide a pliable bed for gliding structures among others.
  
  
  METHODS
  We report our use of the radial artery perforator based adipofascial flap in nine patients, five with rigid radioulnar synostosis, three with recalcitrant carpal tunnel syndrome and one with a soft tissue defect.
  
  
  RESULTS
  All our patients with radioulnar synostosis regained good functional rotations of the forearm with no recurrence at follow up. The patients with recalcitrant carpal tunnel also had resolution of symptoms with no recurrence. The flap healed well in all the patients.
  
  
  CONCLUSIONS
  We propose this flap as a viable, versatile reconstructive option for the hand and upper limb.
authors.affiliation: 1 Hand and Peripheral Nerve Surgery, Queen Elizabeth Hospital, Birmingham, UK.
authors.forename: Deepak
authors.initials: D
authors.lastname: Samson
authors.affiliation: 1 Hand and Peripheral Nerve Surgery, Queen Elizabeth Hospital, Birmingham, UK.
authors.forename: Dominic M
authors.initials: DM
authors.lastname: Power
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D005260:Female; D005542:Forearm / Q000601:surgery*; D006801:Humans; D008297:Male; D061525:Perforator Flap / Q000098:blood supply*; D017534:Radial Artery / Q000601:surgery*; D011884:Radius / Q000002:abnormalities* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013580:Synostosis / Q000601:surgery*; D014457:Ulna / Q000002:abnormalities* / Q000601:surgery
keywords: Adipofascial flaps; Radial artery perforator flap; Radioulnar synostosis; Recalcitrant carpal tunnel syndrome