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[Perforator flap in the middle segment of posterolateral forearm for dorsal defects at the lower forearm]
Jian Lin1, Yun-Lan Yu, He-Ping Zheng
1The Hand Surgery and Microsurgery Department of BoAi Hospital in Taizhou City, Taizhou 318050, China.
Objective:
To discuss the feasibility of perforator flaps in the middle segment of posterolateral forearm for dorsal defects at the lower forearm.
Methods:
30 specimens of adult upper limbs, perfused with red latex, were dissected. The course, origin, distribution and branches of major perforator artery in the middle segment of posterolateral forearm were observed and measured. 8 cases with dorsal defects at the lower forearm were treated with the perforator flaps.
Results:
All the 8 flaps survived completely with primary healing. The patients were followed up for 2-28 months with good flap texture, color and appearance.
Conclusions:
The perforator flap in the middle segment of posterolateral forearm has constant and rich blood supply which is originated from the main artery. It is suitable for defects at the dorsal side of lower forearm.
