The purpose of the present study was to establish the clinicoanatomica
l basis for the radial forearm flap. We conducted a morphometric inves
tigation on 52 Japanese cadavers, of forearm vessels, for use in free
forearm flaps. The mean inner diameter of the cephalic and median cubi
tal veins at the interepicondylar line was 1.9+/-1.2 mm and 1.8+/-1.1
mm, respectively. Mean inner diameter of the radial artery and venae c
omitantes 1 cm distal to the origins of the radial and ulnar arteries
was 2.3+/-0.5 mm and 1.6+/-0.5 mm, respectively. The longest segment o
f a superficial vein was 28.7+/-4.6 cm, it was measured between the ba
silic vein 5 cm proximal to the interepicondylar line and the cephalic
vein at Lister's tubercle. The length of the radial artery was 18.1+/
-1.7 cm. There were fewer valves in the basilic vein and cephalic vein
proximal to the median cubital vein and in the brachial veins than in
the distal antebrachial veins. From these results some of the clinico
anatomical considerations of forearm vessels which will form the clini
coanatomical basis of the free forearm flap should be clarified.