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Published on Jul 9, 2009
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The radial forearm flap provides a thin layer of subcutaneous fat and skin innervated by the medial or lateral antebrachial cutaneous nerves, or both. The flap can include one or more skin paddles, a portion of the lateral cortex of the radius (usually a 1 cm width and a 10 to 12 cm length can be obtained), and fascia in any combination.1-10 The entire forearm skin can be elevated, but the larger the flap, the greater the donor site deformity. The forearm skin has only a small area with light or no hair growth, which may limit the flap size in some types of reconstruction.