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A new perforator flap from distal medial arm: a cadaveric study
Eplasty
|October 27, 2010
Summary
A novel fasciocutaneous perforator flap from the distal medial arm offers a new option for soft tissue reconstruction. This flap, supplied by the distal brachial artery, is suitable for elbow defect repair.
Area of Science:
- Plastic Surgery
- Anatomy
- Reconstructive Surgery
Background:
- A new fasciocutaneous perforator flap has been developed from the inner medial surface of the distal medial arm.
- This flap is designed for soft tissue coverage applications.
Purpose of the Study:
- To describe a new fasciocutaneous perforator flap for soft tissue reconstruction.
- To investigate the anatomical characteristics and blood supply of this novel flap.
Main Methods:
- Dissection of 14 limbs from 7 formalinized cadavers.
- Study of the origin and course of the perforator vessel supplying the flap.
- Measurement of flap dimensions and perforator artery characteristics.
Main Results:
- The average flap size was 10.7 cm × 5.6 cm.
- A constant main perforator was identified, centered 11.5 cm superior and 1.3 cm medial to the medial epicondyle.
- The mean length and diameter of the distal brachial perforator artery were 3.3 cm and 0.95 mm, respectively.
Conclusions:
- The described fasciocutaneous perforator flap is a viable option for soft tissue reconstruction.
- This flap may be particularly useful for reconstructing soft tissue defects of the elbow.
