One-stage reconstruction of the massive overlying skin defect combined with total loss of extensor tendon in zones V and VI using a reverse pedicled radial forearm tendinocutaneous flap: A case report

Hong Van Hoang; Trung Thai Vo; Khoa Xuan Ngo; Mat Thi Nguyen; Anh Quang Pham

doi:10.1016/j.jpra.2023.11.015

One-stage reconstruction of the massive overlying skin defect combined with total loss of extensor tendon in zones V and VI using a reverse pedicled radial forearm tendinocutaneous flap: A case report

JPRAS Open. 2023 Nov 30:39:101-105. doi: 10.1016/j.jpra.2023.11.015. eCollection 2024 Mar.

Authors

Hong Van Hoang¹, Trung Thai Vo², Khoa Xuan Ngo¹, Mat Thi Nguyen¹, Anh Quang Pham¹

Affiliations

¹ Aesthetic Plastic Surgery Department, Hanoi Medical University Hospital, Vietnam.
² Department of Orthopaedic and Reconstruction, Binh Duong General Provincial Hospital, Vietnam.

Abstract

Our case report involved a 36-year-old man who sustained injury during manual labor caused by a machine press. The patient had extensive fourth-degree burns in the right dorsal hand with total loss of extensor tendons in zones V and VI of the index, middle, and ring finger. We performed a reverse radial forearm tendinocutaneous flap (the radial artery flap permits the inclusion of three "strips" of vascularized tendons: brachioradialis, flexor carpi radialis, and palmaris longus) to cover his hand defects. Six months after the operation, the active extension of the index, middle, and ring metacarpophalangeal joints had recovered well. The patient is satisfied with the outcome.

Keywords: Extensor tendon defects; One-stage reconstruction; Reverse pedicled radial forearm tendinocutaneous flap.

Publication types

Case Reports