A Cadaveric Anatomy Study of the Shape-Modified Radial Forearm Flap

PURPOSE: Mateev developed a shape-modified radial forearm flap (SMRFF), the use of which is not widespread. This study aimed to analyze hand subunit defects and combinations thereof that can be reconstructed using the SMRFF. METHODS: An anatomical study of 10 injected cadavers was conducted to investigate the subunits and combinations reachable with SMRFF. The radial pedicle length, the number and locations of radial artery perforators, the skin flap's dimensions and surface area, and the number, dimension, and surface area of skin paddles were recorded. RESULTS: In all 10 cadavers, the dorsum, the palm, all combinations of palmar subunits, and both sides of the first webspace could be covered. Two dorsal proximal phalanges could be covered only when adjacent. The mean radial pedicle length was 19.3 cm. All perforators (diameter > 0.5 mm) were septocutaneous, ranging from 3 to 9 per artery (mean: 6.3). On average, there were two perforators in the proximal third of the forearm, 2.3 in the middle third, and two in the distal third. At the proximal third of the forearm, the mean distance between the lateral epicondyle and the perforator was 6.6 cm. At the middle third of the forearm, this distance was 11.8 cm. At the distal third of the forearm, the mean distance between the perforator and the radial styloid process was 4.3 cm. The mean flap surface area was 98.4 cm2, with 34.4 cm2 for proximal paddles, 28.2 cm2 for middle paddles, and 22.8 cm2 for distal paddles. CONCLUSIONS: The SMRFF can effectively reach various hand subunit defects, offering versatile coverage for palmar and dorsal regions, with detailed perforator and flaps measurements. CLINICAL RELEVANCE: This study investigates the anatomical feasibility of the SMRFF and demonstrates its adaptability, making it a potentially valuable tool in hand surgery.

Abstract aus PubMed (NCBI) für den zitierten Eintrag, in der Originalsprache wiedergegeben. Maßgeblich ist die Fassung der Originalpublikation.

Das Abstract wird nicht übersetzt, damit die eigene Wortwahl der Autoren erhalten bleibt.

In 10 injected cadavers, the shape-modified radial forearm flap reached the dorsum, palm, all palmar subunit combinations, and both sides of the first webspace, with a mean pedicle length of 19.3 cm and mean flap surface area of 98.4 cm².

Erfahren Sie, wie diese Forschung mit der klinischen Praxis verknüpft ist

Weitere begutachtete Studien in der Kategorie „Klinische Studien“.

• Leech Therapy for Knee Osteoarthritis — The Landmark RCT — Michalsen et al. (2003)
• Leech-Assisted Flap Salvage — Systematic Review of 277 Cases — Whitaker et al. (2012)
• Auswirkungen der Hirudotherapie auf Leberfunktionen, Lipidprofil und Insulinsensitivität bei Ratten mit metabolischem Syndrom — Bilden A et al. (2026)
• Efficacy and Safety of Hirudotherapy for Improving Sperm Quality Parameters in Male Infertility: A Randomized Controlled Trial — Abtahi-Forooshani M et al. (2026)
• Reverse Sural Flap Venous Congestion Successfully Managed With Enoxaparin in a Male Patient With a Traumatic Foot Crush Injury: A Case Report — Velasco-Bustamante J et al. (2026)
• Investigation of the therapeutic effects of medicinal leech treatment on lower extremity ischemia-reperfusion injury — Ünal K et al. (2026)
• Wirksamkeit der Therapie mit medizinischen Blutegeln bei unterschiedlichen klinischen Anwendungen: Eine umfassende Studie aus Aserbaidschan — Farzali S et al. (2025)
• HIRUDOTHERAPY IN RECONSTRUCTIVE SURGERY: CASE-REPORTS AND REVIEW — Heinz P et al. (2020)
• Hirudotherapy in Wound Healing — Nair H et al. (2022)
• Improvement of patient care through hirudotherapy and the management of leeches from their reception to their disposal in France — Vaesken C et al. (2023)

Alle von der ASH analysierten Studien →