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Updated: Jul 25, 2026
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Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor
Published on: August 1, 2022
Combined dorsal forearm and lateral arm flap
M Shibata1, Y Hatano, Y Iwabuchi
1Department of Orthopaedic Surgery, Niigata University School of Medicine, Japan.
Plastic and Reconstructive Surgery
|November 1, 1995
Summary
This study introduces a novel combined dorsal forearm and lateral arm flap for hand soft-tissue defects. This technique offers a one-stage reconstruction solution, avoiding bulky flaps and secondary procedures.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Traditional flaps like latissimus dorsi and groin flaps are often too bulky for hand reconstruction.
- Secondary operations for flap thinning increase patient morbidity and healthcare costs.
Observation:
- A combined dorsal forearm flap and lateral arm flap, based on a reversed posterior interosseous artery pedicle, was utilized.
- Anastomosis to the posterior radial collateral artery augmented vascular supply to the lateral arm component.
Findings:
- Successful one-stage soft-tissue reconstruction of large hand defects was achieved in two clinical cases.
- The combined flap provided adequate coverage without excessive bulk, eliminating the need for secondary thinning procedures.
Implications:
- This combined flap technique presents a viable alternative for complex hand soft-tissue reconstruction.
- It potentially reduces the number of surgical interventions and improves functional outcomes for patients with hand defects.
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History:
Assessment:
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