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Innervated radial thenar flap for sensory reconstruction of fingers.

Authors
  • Omokawa, S
  • Mizumoto, S
  • Iwai, M
  • Tamai, S
  • Fukui, A
Type
Published Article
Journal
The Journal of hand surgery
Publication Date
May 01, 1996
Volume
21
Issue
3
Pages
373–380
Identifiers
PMID: 8724464
Source
Medline
License
Unknown

Abstract

A radial thenar flap, which is supplied by the superficial palmar branch of the radial artery and innervated by the superficial branch of the radial nerve, was used in four patients for sensory reconstruction of the fingers. Two patients had degloving injuries of the hand and two had amputation injuries of the thumb. Three of the cases underwent free-flap transfers, and one case underwent a reverse-flow island flap. The size of these flaps was about 3 x 5 cm except in one case, where a 15 x 5 cm flap combined with a radial forearm flap was used. Sensory reinnervation was excellent and donor site morbidity was minimal in all four cases. An innervated radial thenar flap from the ipsilateral hand offers an alternative choice to reconstruct large palmar defects of the fingers.

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