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Flap reconstruction in the upper limb

Y Ikuta1, K Kimori

  • 1Department of Orthopedic Surgery, Hiroshima University School of Medicine, Japan.

Annals of the Academy of Medicine, Singapore
|July 1, 1995
PubMed
Summary
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Free and regional fasciocutaneous flaps offer improved upper limb skin defect coverage. This review details various flap types and selection criteria for optimal reconstruction outcomes.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Conventional flaps have limitations for upper limb skin defect coverage.
  • Free flaps and regional fasciocutaneous flaps provide advanced reconstructive options.

Purpose of the Study:

  • To describe the features and indications of regional axial pattern flaps and free flaps for upper limb skin defects.
  • To categorize available flaps for upper limb reconstruction.

Main Methods:

  • Review of literature on upper limb flaps.
  • Categorization of flaps into ipsilateral and contralateral sources.
  • Listing of specific flap types including lateral arm, radial forearm, posterior interosseous, dorsal metacarpal, digital artery, latissimus dorsi, scapular, groin, and hemipulp flaps.

Main Results:

Related Experiment Videos

  • Flaps are categorized into those originating from the ipsilateral upper limb and those from outside the upper limb.
  • Specific ipsilateral flaps include lateral arm, radial forearm, posterior interosseous artery, dorsal metacarpal artery, and digital artery flaps.
  • Extremity flaps include latissimus dorsi myocutaneous, scapular, groin, and hemipulp flaps.

Conclusions:

  • Regional axial pattern flaps and free flaps enhance upper limb defect coverage.
  • Flap selection depends on patient factors, defect characteristics, and surgical considerations.
  • A comprehensive understanding of flap options is crucial for successful upper limb reconstruction.