We have reconstructed soft tissue defects in 135 reconstructions with radial forearm perforator flaps. So that the flap perfectly fitted the defect, and to minimise the size of the donor site, we divided the flap into two or three components in each case. We call this the shape-modified radial forearm flap. In all cases we observed complete survival of the flap. The follow-up time was 1 to 10 years. The donor sites were was closed primarily in all patients, giving good aesthetic results.The shape-modified radial forearm perforator flap seems to be reliable, and makes it possible to adjust the flap according to the defect.
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