PMID: 9555994Apr 29, 1998Paper

The total volar forearm musculocutaneous free flap for reconstruction of extended forequarter amputations

Annals of Plastic Surgery
P G CordeiroM F Brennan

Abstract

Forequarter amputation is performed for resection of large, invasive tumors of the shoulder girdle region. A substantial defect can usually be closed with local or regional flaps; however, a subset of the forequarter amputation group has emerged at this institution with more complex issues. These patients have extensively more invasive posterior tumors, some with chest wall/rib invasion. Local/regional flaps in these situations are inadequate, and free tissue transfer is the only viable option. The forequarter specimen can sometimes be used as a donor site, thereby eliminating the usual donor site morbidity. Variations of the total forearm free flap have been sparsely described in the literature--the majority being case reports of either pure fasciocutaneous or "filet of forearm" flaps. We report a series of 4 patients treated over a 5 year period at this institution using the previously undescribed total volar forearm musculocutaneous free flap based on the brachial artery and its venae comitantes. This flap includes the entire musculature of the volar forearm with fasciocutaneous extensions on either side of the musculocutaneous unit. All potentially ischemic dorsal musculature is discarded, leaving a flap that has central bu...Continue Reading

Citations

Jun 6, 2003·The Lancet Oncology·Matthew A Clark, J Meirion Thomas
May 1, 2004·Seminars in Plastic Surgery·Elisabeth K Beahm, David W Chang
Sep 8, 2001·Plastic and Reconstructive Surgery·L Heller, L S Levin
Dec 18, 2001·Plastic and Reconstructive Surgery·P G CordeiroD Hidalgo
Nov 12, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Georgios KoulaxouzidisG Björn Stark
Mar 13, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P S HarenbergD Erdmann
May 31, 2011·The Annals of Thoracic Surgery·Patrick NierlichWalter Klepetko
Oct 24, 2008·Microsurgery·Isabel C OliveiraJosé M Amarante
Jun 28, 2005·Surgical Oncology Clinics of North America·John M Kane, William G Kraybill
May 1, 2013·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·E Tukiainen
Mar 23, 2002·Annals of Plastic Surgery·Detlev ErdmannL Scott Levin
Oct 25, 2006·Journal of Surgical Oncology·Lior Heller, Steven J Kronowitz
Sep 7, 2007·Plastic and Reconstructive Surgery·Alessio BaccaraniL Scott Levin
Mar 10, 2020·Annals of Plastic Surgery·Erkki TukiainenOuti Kaarela

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.