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Related Experiment Videos

The posterior arm free flap.

A C Masquelet, S Rinaldi, A Mouchet

    Plastic and Reconstructive Surgery
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    A novel posterior arm free flap offers a flexible skin option for reconstructions. Despite modest size, it shows promising results in hand and foot reconstructions, with good donor site healing.

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    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Microsurgery

    Background:

    • Free flap surgery is crucial for complex reconstructions.
    • The posterior arm presents an underexplored donor site for cutaneous free flaps.

    Purpose of the Study:

    • To describe a new cutaneous free flap based on the posterior arm.
    • To evaluate its utility and outcomes in reconstructive surgery.

    Main Methods:

    • A new flap design utilizing posterior arm skin was developed.
    • Vascular supply from the humeral or deep humeral artery and venous drainage via venae comitantes were identified.
    • Nerve supply originates from the radial nerve.
    • The flap was used in five reconstructive cases.

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    Main Results:

    • The flap demonstrated flexibility and allowed primary donor site closure for widths up to 7 cm.
    • Five flaps were successfully used for hand and foot reconstruction.
    • One flap required arterial anastomosis revision, and another experienced partial necrosis.
    • Overall flap survival was achieved with satisfactory functional and aesthetic outcomes, particularly for weight-bearing foot areas.

    Conclusions:

    • The posterior arm free flap is a viable option for specific reconstructive needs.
    • Its advantages include donor site versatility and acceptable flap survival rates.
    • Further studies may explore optimizing its dimensions for broader applications.