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Related Experiment Videos

The lateral arm/proximal forearm flap

K E Brandt1, R K Khouri

  • 1Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Mo.

Plastic and Reconstructive Surgery
|November 1, 1993
PubMed
Summary
This summary is machine-generated.

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Modified lateral arm flaps offer improved skin availability, thin sensate skin, and extended reach for reconstructions. These versatile flaps demonstrate successful application in various extremity and penile reconstructions.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Anatomy

Background:

  • The classic lateral arm flap has limitations including restricted skin availability, thick subcutaneous tissue, a short vascular pedicle, and inconsistent sensory innervation.
  • These limitations hinder its application in complex reconstructive procedures.

Observation:

  • Anatomical study of 10 fresh specimens revealed a rich vascular plexus in the lateral arm/proximal forearm, supplied by the posterior radial collateral artery and communicating branches from the radial recurrent artery.
  • This vascular network extends into the proximal forearm, offering potential for enhanced flap design.

Findings:

  • Modifications to the lateral arm flap were developed to increase skin availability, provide thin, sensate skin, and extend the flap's reach.
  • Fifteen lateral arm/proximal forearm flaps were successfully used in upper and lower extremity reconstructions and penile constructions.

Related Experiment Videos

  • All flaps survived with primary wound healing, demonstrating the procedure's reliability.

    • Implications:

    • The modified lateral arm/proximal forearm flap offers a versatile and reliable option for soft tissue reconstruction.
    • These advancements address the limitations of the classic flap, expanding its reconstructive potential.
    • The study highlights the importance of understanding vascular anatomy for flap design and successful outcomes.