Super-Thinned Iliac Flap for Major Defects on the Elbow and Wrist Flexion Creases

Piñal, Francisco del; García-Bernal, Francisco J.; Studer, Alexis; Ayala, Higinio; Cagigal, Leopoldo; Regalado, Javier

doi:10.1016/j.jhsa.2008.09.023

Cited by 21 publications

(13 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the future, if we face a larger first web defect (similar to patient 6), we will opt for a first web transfer but will address the donor site by covering it with another free flap, such as a thin iliac flap. 26 Adani et al 27 demonstrated the beneficial use of artificial dermis for donor sites, which could be a much simpler solution.…”

Section: Discussionmentioning

confidence: 99%

Foot Web Free Flaps for Single-Stage Reconstruction of Hand Webs

Piñal

Klausmeyer

Moraleda

et al. 2015

The Journal of Hand Surgery

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Foot Web Free Flaps for Single-Stage Reconstruction of Hand Webs

Piñal

Klausmeyer

Moraleda

et al. 2015

The Journal of Hand Surgery

Self Cite

View full text Add to dashboard Cite

“…When a sufficient pedicle length is achieved, a flap of the same size as the defect is harvested from the donor and inset can be performed without further excision of adjacent tissue only for the purpose of insetting. 16,17 However, the thoracodorsal artery perforator flap of authors' design can be an alternative option for transferring a large dimension of tissue regardless of the availability of a recipient vessel. 13 A complex defect of the elbow area that exposes the vital structures remains challenging and treatment options are limited.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Pedicle Lengthening for Pedicled Thoracodorsal Artery Perforator Flap Transfer

Park¹,

Seo²,

Mun³

2014

Annals of Plastic Surgery

View full text Add to dashboard Cite

The pedicled thoracodorsal artery perforator flap has been shown to be an effective option for reconstruction of various regions, including the breast, axilla, upper arm, lateral chest, and shoulder area. However, the original length of the pedicle limits the flap's reach to remote locations. We devised a technique that involves microsurgical lengthening of the pedicle to extend the arc of rotation of the pedicled perforator flap. After exposure of the subscapular vascular tree, we divided the thoracodorsal vessel at the point of bifurcation to the serratus branch and then the pedicle was reconnected to the distal end of the serratus branch. Here, we present 2 cases in which this technique was effectively applied to reconstruct a defect of the elbow using a thoracodorsal artery perforator flap with a pedicle lengthening procedure.

show abstract

“…By applying a meticulous technique to the dissection of small vessels in the adipose layer, Kimura [24] established ''microdissection'', which is a method of accurately elevating a uniformly thin perforator flap. In this procedure, perforator flaps can be defatted and rely solely on the subdermal plexus for circulation, which is useful for resurfacing the face, neck, axilla, scrotal, hands, and feet [8,11]. Massive defatting of the flap is useful especially when a thin and pliable flap is needed [27].…”

Section: Introductionmentioning

confidence: 99%