Learn about Reversed Radial Forearm Flap Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Reversed Radial Forearm Flap and request assistance for cost estimates or appointments.

About Reversed Radial Forearm Flap

The Reversed Radial Forearm Flap is a sophisticated microsurgical procedure in pediatric orthopedics used to reconstruct complex soft tissue and bone defects, particularly in the hand and upper extremity. It involves harvesting a segment of skin, fascia, and sometimes bone from the forearm, along with its blood supply (the radial artery and its venae comitantes), and rotating it 180 degrees to cover a distant defect. This 'reversed' orientation allows the flap's blood flow to be supplied retrograde through the distal radial artery, making it ideal for covering injuries on the back of the hand or fingers. It is a workhorse flap due to its reliable anatomy, thin and pliable tissue, and potential for sensory reinnervation, offering excellent functional and cosmetic outcomes for children with traumatic injuries, congenital anomalies, or post-tumor resection defects.

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.
  • checked Typical hospital stay: 5-7 days
  • checked 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.

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
PATIENT REVIEW

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.

Dr. Neeraj Gupta
  • 14 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ghaziabad, Ghaziabad

OPD-desk synced • Updated
Dr. Prashanth Inna
  • 23 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Abhishek Nandi
  • 8 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur, Kolkata

OPD-desk synced • Updated