The radial recurrent fasciocutaneous flap: reverse upper arm flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Anatomy

Background:

• Elbow lesions often require complex reconstructive techniques.
• The radial recurrent artery's vascular supply to the elbow region is well-documented.
• Developing innovative flaps is crucial for improving surgical outcomes.

Observation:

• A radial recurrent fasciocutaneous flap was designed and developed.
• The flap is based on the radial recurrent artery, supplying the supinator, brachialis, and elbow joint.
• The artery ascends to the fascia, subcutaneous tissues, and skin over the lateral upper arm, anastomosing with the radial collateral artery.

Findings:

• The study details the design and development of this novel fasciocutaneous flap.
• The flap's anatomical basis and vascular supply are elucidated.
• Successful application of the flap in repairing elbow lesions is described.

Implications:

• This flap offers a new reconstructive option for elbow defects.
• It may enhance surgical outcomes in elbow lesion repair.
• Further research could explore its versatility in various reconstructive scenarios.