About Reversed Radial Forearm Flap
Key Highlights
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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.
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Typical hospital stay: 5-7 days
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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 Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey 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 | USD 1,632 – USD 3,807 | 5-7 days | ~ 6-8 weeks for initial healing; 3-6 months for full functional recovery | Know More |
| Turkey | USD 12,079 – USD 28,184 | 5-7 days | ~ 6-8 weeks for initial healing; 3-6 months for full functional recovery | Know More |
Our 8-year-old daughter fractured her elbow...
Our 8-year-old daughter fractured her elbow in a playground fall, and Dr. Prashanth Inna was absolutely phenomenal. He explained the complex procedure in simple terms, calmed our nerves, and the minimally invasive surgery went perfectly. His follow-up care was thorough, and she's now back to gymnastics without any issues!