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Distally planned lateral arm flap

M Hamdi1, B C Coessens

  • 1Department of Plastic Surgery, Brugmann Hospital, Free University of Brussels, Belgium.

Microsurgery
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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This study introduces a modified distally based lateral arm flap, enhancing pedicle length and reducing flap thickness. This technique offers improved outcomes and patient satisfaction in reconstructive surgery.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Anatomy

Background:

  • The classical lateral arm flap has limitations including a short vascular pedicle (2-6 cm) and significant flap thickness.
  • Anatomical dissections revealed an anastomotic network between the posterior radial collateral artery and recurrent radial artery.

Purpose of the Study:

  • To describe and evaluate a modified distally based lateral arm flap technique.
  • To assess the feasibility, outcomes, and patient satisfaction of this modified flap in reconstructive procedures.

Main Methods:

  • A series of 13 consecutive distally based lateral arm flaps were performed.
  • Eight patients were followed up for a minimum of 12 months postoperatively.
  • Flap dimensions, pedicle length, harvesting time, and complications were recorded.

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Main Results:

  • Pedicle length increased up to 100% (average 10.5 cm), with reduced flap bulk.
  • Mean flap harvesting time was 60 minutes; all donor sites were closed primarily.
  • High patient satisfaction rates were reported for both reconstruction and donor site appearance; elbow mobility was unaffected.

Conclusions:

  • The distally planned lateral arm flap offers a longer pedicle and decreased bulk compared to the classical approach.
  • This modification presents no added technical difficulties or morbidity, with favorable aesthetic and functional outcomes.