Blood Supply of the Subcutaneous Tissue of the Upper Limb and its Importance in the Subcutaneous Flap

1987 ◽  
Vol 12 (2) ◽  
pp. 189-193
Author(s):  
A. ZBRODOWSKI ◽  
F. M. MARTY ◽  
R. GÜMENER ◽  
D. MONTANDON
Keyword(s):  
Soft Tissue ◽  
Blood Supply ◽  
Upper Limb ◽  
Subcutaneous Tissue ◽  
Practical Importance ◽  
Soft Tissue Defects ◽  
India Ink ◽  
Subcutaneous Flap ◽  
Tissue Defects ◽  
Gelatine Solution

Vascularization of the subcutaneous tissue of the upper extremity is described. Injection of coloured latex or India ink and gelatine solution showed the principal sources of the blood supply. Microdissection and transclarification of Spalteholz allowed for the study of the direct and indirect arterial branches which form the principal network of the subcutaneous tissue. The findings are of practical importance since the subcutaneous tissue can be used as a separate flap for covering soft tissue defects of the forearm and hand.

scholarly journals Reconstruction of upper limb soft-tissue defects after sarcoma resection with free flaps: A systematic review

2020 ◽  
Author(s):  
Elena Lucattelli ◽  
Irene Laura Lusetti ◽  
Federico Cipriani ◽  
Alessandro Innocenti ◽  
Giorgio De Santis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Upper Limb ◽  
Free Flaps ◽  
Soft Tissue Defects ◽  
Tissue Defects

scholarly journals A simple method for immobilising the upper limb following groin or abdominal flaps for soft tissue defects in the hand

2004 ◽  
Vol 37 (02) ◽  
pp. 129-130 ◽  
Author(s):  
Jagannath B. Kamath ◽  
Chitta Ranjan Sahu ◽  
Thangam Verghese Joshua
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Hand Injuries ◽  
Soft Tissue Defects ◽  
Easy Method ◽  
Simple Method ◽  
The Common ◽  
Tissue Defects ◽  
Abdominal Flaps

ABSTRACTAbdominal and groin flaps are the main workhorse for soft tissue defects in hand injuries. A simple and easy method is being described for immobilising the upper limb following abdominal and groin flaps for soft tissue defects of the hand using commonly available clavicular braces. This is devoid of all the problems of immobilisation using the common methods such as adhesive plasters and pin fixators and has its own advantages.

scholarly journals Double-pedicle propeller flap for reconstruction of the foot and ankle: anatomical study and clinical applications

2019 ◽  
Vol 47 (10) ◽  
pp. 4775-4786 ◽  
Author(s):  
Jianxiong Zheng ◽  
Hua Liao ◽  
Jie Li ◽  
Lingjian Zhuo ◽  
Gaohong Ren ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Blood Supply ◽  
Sural Nerve ◽  
Anatomical Study ◽  
Peroneal Artery ◽  
Foot And Ankle ◽  
Soft Tissue Defects ◽  
Nerve Bundle ◽  
Propeller Flap ◽  
Tissue Defects

Objective Reconstruction of soft tissue defects in the foot and ankle remains challenging. This study was performed to investigate the technical points and clinical effects of a double-pedicle propeller flap for repair of foot and ankle soft tissue defects. Methods We used five fresh calf specimens to investigate the anatomical and operative aspects of a double-pedicle propeller flap. Eighteen patients with soft tissue defects in the foot and ankle subsequently underwent defect repair with double-pedicle propeller flaps. Results The anatomical study showed that the peroneal artery perforators and the sural nerve bundle (two blood supply systems) provided the theoretical anatomical basis for the double-pedicle propeller flap. The relative positions of the peroneal artery perforators and the sural nerve bundle differ according to the peroneal artery perforating level. Flap rotation in different directions can reduce or prevent the pedicles from compressing each other. All flaps survived, and three flaps developed local epidermal necrosis at the proximal end; these flaps healed after 1 to 2 weeks of dressing changes. The other 15 patients healed well. Conclusions The double-pedicle propeller flap can enhance the blood supply and venous return in the “big paddle” region of the flap, reducing the distal necrosis rate.

Management of Extensive or Infected Soft Tissue Defects in Upper Limb by Means of Pediculated Omental Flaps

2009 ◽  
Vol 81 (11) ◽  
Author(s):  
Adam Domanasiewicz ◽  
Leszek Kaczmarzyk ◽  
Maciej Paruzel ◽  
Jerzy Jabłecki
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Soft Tissue Defects ◽  
Tissue Defects

The Free Peroneal Perforator–Based Sural Neurofasciocutaneous Flap: A Novel Tool for Reconstruction of Large Soft-Tissue Defects in the Upper Limb

2011 ◽  
Vol 127 (1) ◽  
pp. 293-302 ◽  
Author(s):  
Chun-Yang Wang ◽  
Yi-Min Chai ◽  
Gen Wen ◽  
Pei-Hua Cai ◽  
Lu-Yuan Sun ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Soft Tissue Defects ◽  
Tissue Defects
Sign in / Sign up

Export Citation Format

Share Document