Application of composite microsurgical tissue forearm flaps using radial artery.

The authors analyze the results of microsurgical autotransplantation of 13 composite forearm tissue flaps using radial artery. They show that these can be successfully used in the surgery of the hand in a single-time reconstructions of the fingers, in the removal of neurotrophic ulcers in regions deficient in blood supply, especially in the leg, and also in plastic operations in the cranial and cervical regions, and in stomatological practice. The application of vascularized tendon grafts is advantageous for restoring the locomotor apparatus of the hand. Reconstruction of 2 veins of the flap improved the results. The paper shows the advantage of covering the donor site in the forearm with the aid of combination plastic surgery which covers the flexor tendons with muscular fascicles as well as local tissue and split-skin grafts. Simultaneously, it is necessary to reconstruct the radial artery with the aid of venous autografts.