The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand
Archives of Plastic Surgery
;
: 420-427, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-142226
ABSTRACT
BACKGROUND:
It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand.METHODS:
Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013. Adequate bed preparations with thorough debridement or contracture release were performed. The entire anconeus muscle, located at the elbow superficially, was harvested, with the posterior recurrent interosseous artery as a pedicle. The defects were covered with a uniformly trimmed anconeus muscle free flap. Additional debulking of the flap and skin coverage using a split-thickness skin graft were performed 3 weeks after the first operation.RESULTS:
The average flap size was 18.7 cm² (range, 13.5–30 cm²). All flaps survived without significant complications. Vein grafts for overcoming a short pedicle were necessary in 4 cases.CONCLUSIONS:
The anconeus muscle free flap can be considered a reliable reconstructive option for small defects on the hand or contracture release of the web space, because it has relatively consistent anatomy, provides robust blood supply within the same operative field, and leads to no functional loss at the donor site.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteomielite
/
Artérias
/
Pele
/
Doadores de Tecidos
/
Veias
/
Cicatriz
/
Músculo Esquelético
/
Contratura
/
Transplantes
/
Desbridamento
Limite:
Humanos
Idioma:
Inglês
Revista:
Archives of Plastic Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo
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