The reverse forearm flap pedicled with the ulnar branch of the ulnar artery.
- Author:
Jian-bing LU
1
;
Jian-liang SONG
;
Shou-cheng WU
;
Xiang-qian SHEN
;
Po YE
;
Qiang CHEN
;
Lei WANG
Author Information
- Publication Type:Case Reports
- MeSH: Adult; Female; Forearm; surgery; Hand Injuries; surgery; Humans; Male; Reconstructive Surgical Procedures; Skin Transplantation; methods; Soft Tissue Injuries; surgery; Surgical Flaps; blood supply; Ulnar Artery; surgery; Wrist
- From: Chinese Journal of Plastic Surgery 2004;20(6):428-430
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo introduce a new flap for the repair of soft tissue defects in the hand.
METHODSThe distally pedicled ulnar flap is based on the ascending branch of the upper-wrist cutaneous branch of the ulnar artery. The retrograde flow is ensured by the dorsal carpal arch via the descending branch.
RESULTSFrom 2000 to 2003, the flap was used to treat 8 cases of hand defects, including 3 dorsal defects, 2 palmar defects and 3 the first web defects. All flaps survived and the appearance was satisfactory.
CONCLUSIONSThe reverse forearm flap pedicled with the ulnar branch of the ulnar artery provides a long vascular pedicle. The donor site scar is aesthetically acceptable.