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[The cubital flap].

C Becker1, A Gilbert

  • 1Institut Français de la Main, PARIS.

Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

This study details a new forearm flap technique using the dorsal ulnar artery pedicle. This versatile flap effectively reconstructs large defects in the hand and wrist.

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Area of Science:

  • Plastic Surgery
  • Anatomy
  • Microsurgery

Background:

  • Reconstructive surgery often requires versatile flaps for complex defects.
  • The dorsal ulnar artery's anatomical course and vascular supply are crucial for flap design.

Observation:

  • The dorsal branch of the ulnar artery, originating 2-5 cm proximal to the pisiform, provides a reliable vascular supply.
  • This artery courses beneath the flexor carpi ulnaris muscle, accompanied by the dorsal ulnar nerve.
  • The vascular territory encompasses a significant portion of the ulnar forearm and extends to the dorsum of the hand.

Findings:

  • A novel flap design utilizing the dorsal ulnar artery pedicle allows for large tissue transfer without compromising the main arterial axis.
  • This pedicled or island flap is suitable for covering extensive defects on the dorsum of the hand, wrist, and thenar/hypothenar eminences.

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  • The dorsal ulnar artery demonstrates remarkable anatomical consistency across individuals.

    • Implications:

    • This technique offers a valuable option for reconstructive surgeons managing challenging defects in the upper extremity.
    • The flap's reliability and extensive reach enhance surgical outcomes in hand and wrist reconstruction.
    • Further clinical application of this flap design is warranted to solidify its role in plastic and reconstructive surgery.