Ulnar recurrent adipofascial flap for reconstruction of massive defects around the elbow and forearm

British Journal of Plastic Surgery
A HayashiE Okada

Abstract

An ulnar recurrent adipofascial flap was raised and turned over to reconstruct massive defects around the elbow and forearm after wide resection of malignant tumours. Compared to the fasciocutaneous flap, the ulnar recurrent adipofascial flap has the following advantages: (1) a larger flap can be harvested without the problem of primary closure of the donor site, (2) the contour and scar of the donor site is reasonably acceptable since no tension is presented, (3) the flap can be turned over to cover a wider area, and (4) debulking of the flap can be performed during the operation if needed. The rotation arc of the ulnar recurrent adipofascial flap reaches a wide region, including the distal one-half of the upper arm, the elbow, and the proximal two-thirds of the forearm. Sensory deficit in the forearm was avoided in our patients because meticulous separation and preservation of the medial cutaneous nerve of the forearm was achieved without jeopardising the blood supply to the flap. The ulnar recurrent adipofascial flap is an easy and reliable option for one-stage reconstruction of massive defects around the elbow.

References

Jan 1, 1979·Plastic and Reconstructive Surgery·J BostwickL O Vasconez
Feb 1, 1992·Annals of Plastic Surgery·C S LaiC K Chou
Nov 1, 1990·British Journal of Plastic Surgery·A S Jawad, D H Harrison
May 1, 1990·British Journal of Plastic Surgery·A Hayashi, Y Maruyama
Oct 1, 1989·Annals of Plastic Surgery·I KoshimaS Soeda
Mar 1, 1986·Plastic and Reconstructive Surgery·M H Moore, G B Blake
Oct 1, 1986·British Journal of Plastic Surgery·Y Maruyama, S Takeuchi
Jan 1, 1987·Annals of Plastic Surgery·J H Culbertson, K Mutimer
Apr 1, 1980·British Journal of Plastic Surgery·A G Leonard
Oct 1, 1981·British Journal of Plastic Surgery·M F LaiA D Pelly
Jun 1, 1993·British Journal of Plastic Surgery·N S Sarhadi, A A Quaba
Aug 1, 1997·Annals of Plastic Surgery·C S LaiS D Lin

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Citations

Sep 11, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Sinan OksüzHüseyin Karagöz
Sep 23, 2008·Burns : Journal of the International Society for Burn Injuries·Fatih UygurHaluk Duman
Jul 10, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·L PrantlB Füchtmeier
Jul 25, 2006·Annals of Plastic Surgery·Kiyoshi Onishi, Yu Maruyama
Sep 2, 2020·Journal of Reconstructive Microsurgery·Mario CherubinoLuigi Valdatta
Jul 12, 2018·Surgical and Radiologic Anatomy : SRA·Silvia GandolfiFabrice Duparc
Sep 19, 2019·Surgical and Radiologic Anatomy : SRA·Selda YildizAyhan Comert

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