Superficial lateral arm flap for post-burn antecubital contractures,Journal of Plastic, Reconstructive & Aesthetic Surgery

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Superficial lateral arm flap for post-burn antecubital contractures
Journal of Plastic, Reconstructive & Aesthetic Surgery ( IF 2.0 ) Pub Date : 2023-11-17 , DOI: 10.1016/j.bjps.2023.10.129
Javier Fernández-Palacios ₁ , Mónica Francés Monasterio ₁

Affiliation

This paper presents a new variant of the distally based lateral arm fasciocutaneous flap that involves a straightforward and easy dissection as no specific vessel identification or inclusion is needed. Ten fresh cadavers were dissected to study the vascular supply. All three recurrent arteries—radial, ulnar, and interosseus—nourish the flap. The study also identified muscular perforators from the radial recurrent artery, piercing brachioradialis, and, in addition, septocutaneous perforators from the ulnar and interosseous recurrent arteries entering the base of the flap. Clinical application in 12 patients with upper limb burns including antecubital fossa contracture is also reported. This is a reliable and reproducible flap. The clinical dissection is straightforward and easy, with no need to identify or include a specific vessel at the base of the flap. Harvest requires neither the microscope nor loupes and can be done without a tourniquet, so it can be used in even the most modest surgical settings.

中文翻译：

浅臂外侧皮瓣治疗烧伤后肘前挛缩

本文提出了一种基于远端的侧臂筋膜皮瓣的新变体，其涉及直接且容易的解剖，因为不需要特定的血管识别或包含。解剖十具新鲜尸体以研究血管供应。所有三个返动脉（桡动脉、尺动脉和骨间动脉）都为皮瓣提供营养。该研究还确定了来自桡侧返动脉、刺穿肱桡肌的肌肉穿支，此外，还识别出来自进入皮瓣底部的尺骨和骨间返动脉的隔皮穿支。亦有报道在12例上肢烧伤伴肘前窝挛缩患者中进行临床应用。这是一个可靠且可重复的皮瓣。临床解剖简单易行，无需识别或包括皮瓣底部的特定血管。收获既不需要显微镜也不需要放大镜，并且可以在没有止血带的情况下完成，因此它甚至可以在最普通的手术环境中使用。

更新日期：2023-11-17

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