The Brachioradialis Muscle Flap for Resurfacing of Sort Tissue Defect in the Hand and Forearm.
- Author:
Jeong Joon PARK
;
Young Wook JEON
;
Jin Soo KIM
- Publication Type:Original Article
- MeSH:
Arteries;
Early Ambulation;
Forearm*;
Free Tissue Flaps;
Hand*;
Humans;
Infection Control;
Joints;
Radial Artery;
Tissue Donors
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
1999;26(3):325-329
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The provision of adequate soft tissue cover for a complex hand and forearm wound-dirty, infected and exposed bone can be a challenging problem. Conventionally, a distant flap or free flap have been used, but these have been associated with several problems such as joint stiffness, risk of microsurgical procedures, negligible donor site morbidity, prolonged operation time and economic restriction. As well, fasciocutaneous flap has been the limitation of infection control. In these situations, the ipsilateral muscle flap provides the ideal cover with its rich blood supply and single operative field. Previously described by Lendrum(1980), by Lae et al.(1981), and later by McGeorge(1991), the brachioradilis muscle is the most superficial muscle on the radial side of the forearm. Its flap is based on the radial artery and venae comitantes. From August 1996 to October 1997, we performed branchioradialis muscle flap in seven patients. Despite the sacrifice of the major hand artery, brachioradialis muscle flap has many advantages including the reliability of flap survival, easy dissection, early mobilization and absence of functional and aesthetic problems at the donor site. It is a relatively simple and rapid method for resurfacing soft tissue defect in the hand and forearm. We obtained satisfactory and reliable results.
