Medical College of Wisconsin
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Oblique pedicled paraumbilical perforator-based flap for reconstruction of complex proximal and mid-forearm defects: a report of two cases. J Hand Surg Am 2010 Jul;35(7):1105-10

Date

06/15/2010

Pubmed ID

20541329

DOI

10.1016/j.jhsa.2010.03.036

Scopus ID

2-s2.0-77954089844 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

Reconstruction of complex proximal and mid-forearm wounds can be challenging. Free tissue transfer might not be feasible in certain patients or at institutions lacking microsurgical expertise and equipment. Traditional pedicled flaps are either insufficient in length to reach more proximal forearm defects or are used sparingly due to donor site complications and extremity stiffness. We present a novel technique to reconstruct forearm defects using the oblique pedicled paraumbilical perforator (PUP) based flap. This flap is simple to harvest, has low donor site morbidity, and allows elbow and shoulder range of motion during the interval between flap transfer and pedicle division.

Author List

O'Shaughnessy KD, Rawlani V, Hijjawi JB, Dumanian GA



MESH terms used to index this publication - Major topics in bold

Abdominal Muscles
Follow-Up Studies
Forearm Injuries
Graft Survival
Humans
Injury Severity Score
Male
Multiple Trauma
Radius Fractures
Regional Blood Flow
Risk Assessment
Soft Tissue Injuries
Surgical Flaps
Ulna Fractures
Wound Healing
Young Adult