Sohag University hospitals
Sohag, Egypt
Completed
NCT Number: NCT06319586
The Radial Forearm Flap In Reconstruction Of Upper Limb Injuries
The radial forearm flap is a very useful and versatile flap with a long vascular pedicle and a thin, pliable skin. It's used in reconstruction of the mutilated hand as a reverse pedicled flap. The dominant pedicle is the radial artery, with venous outflow through the dual system of the venae comitantes and cephalic vein. Sensory innervation may be derived from the medial and lateral antebrachial cutaneous nerves. The radial forearm flap offers the advantage of a large area of donor tissue from the involved extremity with the potential for inclusion of bone, nerve, and tendon grafts. Sacrifice of the radial artery has not been associated with significant patient symptoms However, the donor defect can be troublesome, frequently requiring skin grafting directly over the paratenon of the flexor tendons, producing an undesirable donor site appearance
Completed
Looking for future studies?
Notify MeKey information
Conditions
Age range
5 year–80 year
Sex eligibility
All sexes
Study type
Interventional
Phase
Not applicable
Primary location
Who can participate
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- patients aging 5 to 80 years.
- Soft Tissue defects following MCA injuries.
- Defect size less than 30 cm
Exclusion criteria
- Peripheral vascular disease
- Underling bone osteomyelitis
- Unhealthy skin of volatile aspect of donor forearm
- Defect more than 30 cm
- Ulnar artery previous ligated
Treatment and study plan
Radial Forearm Flap
Procedure- Elevate the flap from ulnar to radial side toward the FCR
- Elevate flap from radial to ulnar side to the brachioradialis tendon. Ligate and divide the radial artery and venae comitantes distally.
- incise the skin over the cephalic vein proximally to the cubital fossa. Identify the venous branching pattern and perforating vein.
- Elevate the skin and subcutaneous paddles proximally off of the FCR and brachioradialis.
- Define the venous anatomy at the cubital fossa. In most cases, the median basilic vein and continuation of the median vein contribution to the cephalic vein can be harvested proximal to the perforating vein. This anatomy allows two large veins to be harvested that drain both the deep and superficial systems. Occasionally, one large vein will be identified.
- Closure is performed by harvesting a 0.018-inch skin graft to cover the donor defect. The radial skin edge should be advanced to cover the exposed radial nerve.
Primary outcomes
-
Viability of the flap
Time frame: 12 months
viability of the flap including color, warmth, capillary refill, smell and turgor
Sponsors and collaborators
Lead sponsor
Sohag University
Other
Registry information
Important dates
- Study start
- 2024
- Primary completion
- 2024
- Study completion
- 2024
- First posted
- Mar 20, 2024
- Registry last updated
- Mar 20, 2024
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.