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The lateral forearm flap: an anatomic study

M Lanzetta1, M Bernier, A Chollet

  • 1Department of Orthopaedics, University of Milan, Italy.

Plastic and Reconstructive Surgery
|February 1, 1997
PubMed
Summary
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This study details a new lateral forearm flap, highlighting its vascular anatomy and clinical applications. The flap offers a longer pedicle and thinner tissue, ideal for reconstructive surgery.

Area of Science:

  • Plastic Surgery
  • Anatomy
  • Reconstructive Surgery

Background:

  • The lateral arm flap is a common reconstructive option.
  • Limitations exist regarding pedicle length and tissue characteristics.

Purpose of the Study:

  • To investigate the anatomical basis of a novel lateral forearm flap.
  • To evaluate its clinical utility in reconstructive procedures.

Main Methods:

  • Anatomical dissection of 12 cadaver arms.
  • Vascular injection with methylene blue and latex.
  • Arteriography to visualize the posterior radial collateral artery.

Main Results:

  • The posterior radial collateral artery consistently bifurcates into anterior and posterior divisions.

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  • The anterior division serves as the nutrient vessel, extending 13-18 cm (average 15 cm) distally.
  • This provides a longer vascular pedicle compared to the classic lateral arm flap.

    • Conclusions:

    • A new lateral forearm flap design is presented, based on detailed anatomical study.
    • This flap offers advantages such as a longer pedicle, thin pliable skin, and reduced donor site morbidity.
    • Clinical application in 13 cases demonstrates its efficacy for soft tissue defects.