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The medial arm flap.

H S Matloub1, Z Ye, N J Yousif

  • 1Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee 53226.

Annals of Plastic Surgery
|December 1, 1992
PubMed
Summary
This summary is machine-generated.

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The medial arm flap

Area of Science:

  • Plastic Surgery
  • Anatomy
  • Vascular Surgery

Background:

  • The medial arm flap's anatomy and reconstructive utility remain incompletely understood.
  • Inconsistent reports necessitate a clearer anatomical definition for surgical application.

Observation:

  • A detailed anatomical study of 40 cadaver arms was conducted using latex injection to map vascular supply.
  • The superior ulnar collateral artery was identified as the most consistent blood supply to the medial arm.

Findings:

  • The superior ulnar collateral artery was present in 39/40 specimens.
  • Direct or muscular cutaneous arteries exceeding 1.0 mm were found in over 50% of dissections.
  • All specimens demonstrated at least one vascular pedicle > 1.0 mm suitable for flap transfer.

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Implications:

  • The medial arm flap offers a reliable reconstructive option due to consistent vascularity.
  • Understanding anatomical variations enhances the predictability and success of medial arm flap procedures.
  • Successful clinical application in 10 cases without loss confirms its reconstructive potential.