Cutaneous perforators of the forearm: anatomic study for clinical application

Annals of Plastic Surgery
K HwangIn Hyuk Chung

Abstract

We studied the distribution of constant cutaneous perforators of the forearm.A total of 25 amputated forearms of 13 Korean fresh cadavers were used for the study. The specimens were fixed in formaldehyde solution and phenol mixture in low concentration. Red latex was injected into the axillary arteries of 8 specimens, and lead oxide-gelatin mixture (radiopaque material) was given into another 8. And then the cutaneous perforators were isolated by dissection and radiographed. Free fasciocutaneous flaps with the pedicles of cutaneous perforators were exploited in 9 specimens. Two fasciocutaneous perforators were constant on the flexor surface and 3 on the extensor side. Most of the emerging points of 2 flexor perforators were within each circle, with 2.5 cm (87.5%) and 3.0 cm (75%) in diameter, respectively. Most of the emerging points of 3 extensor perforators were within each circle, with 2.0 cm (87.5%), 1.5 cm (75%), and 2.0 cm (87.5%) in diameter, respectively.A knowledge of constant perforators of the forearm is conducive to the free skin cutaneous flaps to be designed safely.

References

Jan 1, 1986·Plastic and Reconstructive Surgery·M J Rees, G I Taylor
Mar 1, 1987·British Journal of Plastic Surgery·G I Taylor, J H Palmer
Oct 1, 1983·British Journal of Plastic Surgery·B G Lamberty, G C Cormack
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Oct 1, 2004·Plastic and Reconstructive Surgery·Kenichiro KawaiKo Hosokawa

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Citations

Feb 3, 2011·Plastic and Reconstructive Surgery·Kuen Yeow Chin
Mar 19, 2013·Annals of Plastic Surgery·Sang Wha KimSuk-Ho Moon
Jun 26, 2020·Journal of Reconstructive Microsurgery·Megumi IshikoKiyohito Takamatsu

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