We have assessed the results of soft tissue cover on the back of the hand using an adipofascial turnover flap. From 2004 until 2007, 14 patients (mean age: 62 years) underwent reconstruction of extensive defects in the dorsum of the hand, using a forearm adipofascial turnover flap based on the perforators of the anterior interosseous artery covered with a split skin graft. The pivot point of the flap is typically 4–6 cm proximal to the level of the radial styloid process. In 93% of patients, the reconstruction healed without any problem. The adipofascial turnover flap is a useful and reliable method of reconstruction of the dorsum of the hand even in elderly patients.
BardsleyAFSoutarDSElliotDBatchelorAG. Reducing morbidity in the radial forearm flap donor site. Plast Reconstr Surg. 1990, 86: 287–92. discussion 93–4.
2.
ChangSM. The distally based radial forearm fascia flap. Plast Reconstr Surg. 1990, 85: 150–1.
3.
FoucherGvan GenechtenFMerleNMichonJ. A compound radial artery forearm flap in hand surgery: an original modification of the Chinese forearm flap. Br J Plast Surg. 1984, 37: 139–48.
4.
Ignatiadis IA, Mavrogenis AF, Avram AM et al. Treatment of complex hand trauma using the distal ulnar and radial artery perforator-based flaps. Injury. 2008, 39 Suppl 3: S116–24.
5.
JefferySLPickfordMA. Use of the homodigital adipofascial turnover flap for dorsal cover of distal interphalangeal joint defects. J Hand Surg Br. 1999, 24: 241–4.
6.
JonesBMO’BrienCJ. Acute ischaemia of the hand resulting from elevation of a radial forearm flap. Br J Plast Surg. 1985, 38: 396–7.
MedalieDA. Perforator-based forearm and hand adipofascial flaps for the coverage of difficult dorsal hand wounds. Ann Plast Surg. 2002, 48: 477–83.
9.
NakajimaHImanishiNFukuzumiS. Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications. Plast Reconstr Surg. 1999, 103: 104–20.
10.
ReigstadAHetlandKRByeKRokkumM. Free flaps in the reconstruction of hand and distal forearm injuries. J Hand Surg Br. 1992, 17: 185–8.
11.
SungurNOzdemirRUlusoyMGSensozOKilincHOrtakT. Adipofascial turn-over flap for the reconstruction of complicated soft tissue defects of distal forearm and hand. Tech Hand Up Extrem Surg. 2001, 5: 72–7.
12.
TaoKZChenEYJiRMDangRS. Anatomical study on arteries of fasciae in the forearm fasciocutaneous flap. Clin Anat. 2000, 13: 1–5.
13.
UnluREMengiASKocerUSensozO. Dorsal adipofascial turn-over flap for fingertip amputations. J Hand Surg Br. 1999, 24: 525–30.
14.
ZancolliEAAngrigianiC. Posterior interosseous island forearm flap. J Hand Surg Br. 1988, 13: 130–5.
