This is an example of a reverse radial forearm flap to the hand for coverage following the resection of an invasive cancer. The flap is a fasciocutaneous flap based on the retrograde flow through the radial artery. Blood flows down the ulnar artery through palmar arch and retrograde through radial artery. Key surgical moves include the allens test, checking the flow before ligating the proximal radial artery, and raising the flap in a subfascial plane. This flap can also be used for free tissue transfer all
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