About Reversed Radial Forearm Flap
Key Highlights
-
Provides thin, pliable, and well-vascularized tissue ideal for hand and finger reconstruction.Offers the potential for sensory nerve coaptation to restore protective sensation.Can include a segment of the radius bone (osteocutaneous flap) for combined soft tissue and bony reconstruction.Reliable and consistent vascular anatomy, making it a predictable choice for microsurgeons.Allows for a two-team approach (harvesting and recipient site preparation) to reduce operative time.
Who is this surgery for?
- Complex traumatic wounds of the hand or fingers with exposed tendons, joints, or bones.
- Coverage following resection of soft tissue tumors or vascular malformations in the upper extremity.
- Congenital hand differences requiring tissue augmentation or release of contractures.
- Salvage of severely injured limbs with extensive soft tissue loss.
- Chronic, non-healing wounds or osteomyelitis in the hand requiring well-vascularized coverage.
How to prepare
- Comprehensive clinical examination and imaging (X-ray, CT, or MRI) to assess the defect and plan the flap.
- Mandatory Allen's test to confirm adequate blood supply to the hand from the ulnar artery.
- Pre-operative Doppler ultrasound to map the radial artery and its perforators.
- Detailed discussion with the family about the procedure, donor site scar, and potential need for a skin graft.
- Pre-operative optimization of the child's nutritional status and management of any underlying conditions.
Risks & possible complications
- Partial or complete flap failure due to vascular thrombosis (arterial or venous).
- Donor site morbidity, including poor wound healing, hypertrophic scarring, or need for a skin graft.
- Cold intolerance or weakness in the donor hand (rare if ulnar artery is patent).
- Fracture of the radius if a bone segment is harvested.
- Infection, hematoma, or seroma at the recipient or donor site.
- Temporary or permanent sensory loss in the distribution of the superficial radial nerve.
Recovery & hospital stay
- Immediate post-operative monitoring in a specialized unit for flap viability (color, temperature, capillary refill).
- The arm and hand will be immobilized in a bulky dressing or splint for 1-2 weeks to protect the flap.
- Strict elevation of the limb to minimize swelling is crucial for the first week.
- Donor site care, which may involve a skin graft, requires regular dressing changes.
- Initiation of gentle, supervised hand therapy after 2-3 weeks to regain motion and prevent stiffness.
- Long-term follow-up to monitor growth, function, and scar management, especially in growing children.
-
Typical hospital stay: 5-7 days
-
Expected recovery time: 6-8 weeks for initial healing; 3-6 months for full functional recovery
Frequently Asked Questions
If you are considering reversed radial forearm flap in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with pediatric orthopedics departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform reversed radial forearm flap. MediFyr helps you compare pediatric orthopedics and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for reversed radial forearm flap compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 350 Thousand | 5-7 days | ~ 6-8 weeks for initial healing; 3-6 months for full functional recovery | Know More |
| Turkey | TRY 525 Thousand – 1.23 Million | 5-7 days | ~ 6-8 weeks for initial healing; 3-6 months for full functional recovery | Know More |
Arjun Nair is a 13-year-old aspiring...
Arjun Nair is a 13-year-old aspiring artist and cricket enthusiast from Mumbai. A year ago, he suffered a severe electrical burn to his dominant right hand while helping his father with a home repair project. The accident caused significant tissue loss on his palm and fingers, leaving him with a tight, contracted scar that severely limited his ability to grip a pencil or a cricket bat. He became withdrawn, frustrated by his inability to draw or play. After consultations with a pediatric orthopedic surgeon, it was determined that a Reversed Radial Forearm Flap was the best option. This procedure would use healthy skin, fat, and blood vessels from his forearm to reconstruct the soft tissue deficit on his palm, restoring pliability and function. The surgery was complex but successful. Arjun spent a week in the hospital, initially anxious about the large bandage on his arm and hand. With dedicated occupational therapy, he gradually regained motion. Six months later, the flap has healed well, providing him with a functional, sensate palm. He can now hold a pencil steadily and has started sketching again. His emotional journey moved from anger and loss to cautious hope, and finally to profound gratitude as he reclaimed the activities that define him.
Pediatric Orthopedics for Reversed Radial Forearm Flap
Explore experienced pediatric orthopedics who regularly perform reversed radial forearm flap and provide pre- and post-operative care in India.
- 14 Years Experience
- Pediatric Orthopedics
Manipal Hospital Ghaziabad, Ghaziabad
- 23 Years Experience
- Pediatric Orthopedics
Manipal Hospital Old Airport Road, Bangalore
- 8 Years Experience
- Pediatric Orthopedics
Manipal Hospital Mukundapur, Kolkata