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Analysis of the distribution of cutaneous perforators in cutaneous flaps. Plast Reconstr Surg 1998 Jan;101(1):72-84 PMID: 9427918

Pubmed ID

9427918

Abstract

An anatomic and statistical analysis was performed on the distribution of cutaneous perforators that perfuse the scapular, radial forearm, and lateral arm cutaneous flaps. Perforators were categorized as direct, terminal, and intransitive, depending upon perforator origin and termination site relative to the source artery. Statistical cluster analysis of perforator distributions was performed to determine the regions in which cutaneous perforators are consistently found. The scapular and radial forearm flaps could be divided into up to three well-perfused segments. The analysis predicted the possibility of dividing the lateral arm flap into as many as seven segments while maintaining perfusion. Clinical applications of this method for preoperative flap design and elevation as well as final results are shown.

Author List

Yousif NJ, Ye Z, Grunert BK, Gosain AK, Matloub HS, Sanger JR

Authors

Brad K. Grunert PhD Professor in the Plastic Surgery department at Medical College of Wisconsin
Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin




Scopus

2-s2.0-0031973283   39 Citations

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

Arm
Facial Injuries
Finger Injuries
Forearm
Frostbite
Humans
Male
Middle Aged
Reconstructive Surgical Procedures
Shoulder
Skin
Surgical Flaps
Wounds, Gunshot
jenkins-FCD Prod-310 bff9d975ec7f2d302586822146c2801dd4449aad