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The distally-based brachioradialis muscle flap
D D McGeorge1, P M Arnstein, J H Stilwell
1Mersey Regional Plastic Surgery, Whiston Hospital, Prescot, Merseyside.
British Journal of Plastic Surgery
|January 1, 1991
Summary
This study introduces a novel brachioradialis muscle flap, distally based on the radial artery, for effective hand soft tissue defect coverage. The flap is rapidly harvested and can also be used for extensor tendon reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Orthopedic Surgery
Background:
- Soft tissue defects in the hand pose significant reconstructive challenges.
- The brachioradialis muscle flap offers potential for coverage, but its distal application requires specific consideration.
Observation:
- A distally based brachioradialis muscle flap utilizing the radial artery was developed.
- This flap was found to be quickly raised, facilitating efficient surgical procedures.
- The flap provided excellent coverage for soft tissue defects in the hand.
Findings:
- The distally based brachioradialis muscle flap is a viable and rapid option for hand soft tissue reconstruction.
- In two clinical cases, the brachioradialis tendon was successfully integrated for extensor tendon reconstruction, demonstrating dual utility.
Implications:
- This technique expands reconstructive options for complex hand injuries.
- The dual use of the flap and tendon may simplify procedures and improve functional outcomes in hand surgery.