Reversed forearm island flap supplied by the septocutaneous perforator of the radial artery: Anatomical basis and clinical applications

The cutaneous perforators of the radial artery adjacent to the superficial branch of the radial nerve and the lateral antebrachial cutaneous nerve were investigated, and the vascular anatomical features of the reversed forearm island flap supplied by those accompanying perforators were documented. T...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 2003-09, Vol.112 (4), p.1012-1016
Hauptverfasser: DAPING YANG, MORRIS, Steven F, MAOLIN TANG, GEDDES, Christopher R
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container_end_page 1016
container_issue 4
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container_title Plastic and reconstructive surgery (1963)
container_volume 112
creator DAPING YANG
MORRIS, Steven F
MAOLIN TANG
GEDDES, Christopher R
description The cutaneous perforators of the radial artery adjacent to the superficial branch of the radial nerve and the lateral antebrachial cutaneous nerve were investigated, and the vascular anatomical features of the reversed forearm island flap supplied by those accompanying perforators were documented. Ten fresh cadavers were systemically injected with lead oxide, gelatin, and water. Twenty forearms were then dissected, and an overall map of the cutaneous vasculature and source vessels was constructed. The accompanying arteries were observed to lie along the lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve and to nourish the skin through cutaneous branches. Vascular communication among these cutaneous vessels was evaluated, to determine the cutaneous vascular territory of the radial forearm flap. This anatomical information facilitates flap design in the forearm region. Clinical experience regarding the usefulness of the reversed forearm island flap for hand reconstruction for a series of five patients is presented.
doi_str_mv 10.1097/01.prs.0000076192.14536.90
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subjects Adult
Biological and medical sciences
Hand Injuries - surgery
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Orthopedic surgery
Radial Artery
Reconstructive Surgical Procedures - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - blood supply
Traumas. Diseases due to physical agents
title Reversed forearm island flap supplied by the septocutaneous perforator of the radial artery: Anatomical basis and clinical applications
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