Related Experiment Video
Updated: Jun 9, 2026
Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
[Applications of free lateral arm flap for hand and forearm defect reconstruction]
M Sauerbier1, G A Giessler, G Germann
1Klinik für Plastische, Hand- und Rekonstruktive Chirurgie, Interdisziplinäres Tumorzentrum Nord-West-Main-Taunus, Kliniken des Main-Taunus-Kreises GmbH, Bad Soden am Taunus, Deutschland. msauerbier@kliniken-mtk.de
Background:
The purpose of this retrospective study was to verify the advantages and disadvantages of the free lateral arm flap for defect reconstruction of the forearm and hand.
Patients And Methods:
The data of 21 patients who underwent defect coverage of the forearm and hand with the free lateral arm flap between 2002 and 2010 were analyzed. The mean patient age was 48 years (range 17-78 years). The results concerning defect origin, flap size, pedicle length, operative time, revision of the anastomosis or other complications, donor site morbidity and length of hospital stay were evaluated.
Results:
In 6 cases the defect was on the forearm and in 15 on the hand. The majority of defects were infections or chronic wounds. The overage flap width ranged from 3 to 8 cm and the length from 5 to 20 cm. Revision of the anastomosis was only necessary in one case and flap survival rate was 100%. In all patients primary closure of the donor site was possible without complications during the healing procedure.
Conclusion:
The results underline the good reliability of the free lateral arm flap with a satisfactory aesthetic appearance excellent tissue quality and frequent primary donor site closure.
