Radial Artery Perforator Fascial Flap
This Radial Artery Perforator Fascial Flap course will teach you:
- The Radial Artery Perforator Fascial Flap: This is used as a distant pedicled flap with the radial artery as its pedicle. The main objective of the Radial Artery Perforator Fascial Flap is to close a soft tissue defect of the hand or the wrist while maintaining the functionality and esthetics of the donor site and the recipient site. In this procedure the radial artery is not sacrificed.
Special attention is paid to the following hazards you may encounter during the Radial Artery Perforator Fascial Flap:
- Fascial flap vascularization
- Antebrachial fascia injury during dissection
- Mesotenon injury
- Perforators injury by retractors
- Flap rotation
- Flap covering by split skin graft
- Compromised vascularisation
With the following tips you might perform the Radial Artery Perforator Fascial Flap even better:
- Gauze swab as template
- Facilitating of retraction and dissection of the flap
After studying the Radial Artery Perforator Fascial Flap course you are familiar with the most common complications:
- Flap failure
- Tendon damage
- Loss of sensation
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Step by step
Mark - pivot point
Mark the pivot point of the flap on the skin. The pivot point is located where most of the perforators are expected which is 2 to 3 cm proximal to the wrist crease on the radial side of the flexor carpi radialis tendon.
Inspect the skin and measure the distance between the pivot point and defect. This distance resembles the size of the required flap.
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