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The ulnar artery free flap: the first 7 years
D R Christie1, G M Duncan, D W Glasson
1Wellington Regional Plastic Surgical Unit, New Zealand.
Plastic and Reconstructive Surgery
|March 1, 1994
Summary
The ulnar artery free flap is a reliable and effective method for reconstructing head, neck, and lower limb defects, with a high success rate. This technique offers advantages over the radial artery free flap, including easier donor site repair and better cosmetic outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- The ulnar artery free flap is increasingly utilized in reconstructive surgery.
- This review examines 7 years of clinical experience with this flap at a specialized unit.
Observation:
- 56 ulnar artery free flap procedures were analyzed.
- The flap is commonly used for intraoral cancer resection, head and neck defects, and lower limb soft-tissue reconstruction.
Findings:
- A success rate of 93% (52 out of 56 cases) was achieved.
- Early complications included two intraoperative abandonments and two lower limb failures due to anastomotic issues.
- All flaps in the last 4 years were successful, indicating a learning curve improvement.
Implications:
- The ulnar artery free flap is a dependable option for various reconstructive needs.
- It presents advantages such as simpler donor site closure, superior aesthetics, and absence of hair compared to the radial artery free flap.
- This technique demonstrates significant potential for improving patient outcomes in complex defect reconstruction.