Background The lateral arm free flap (LAFF) has several reliable option for defect coverage at the hand for advantages in hand reconstruction due to multiple fac- small- and medium-size defects. It can be raised as a tors. We aimed to show the versatility of LAFF in cutaneous, fascial, or osteocutaneous flap. Several treating hand defects. advantages favor the use of lateral arm flap in hand Methods A retrospective analysis of all LAAF for hand reconstruction. These include preservation of major reconstruction carried out at our institutions between arm blood vessels, its constant vascular anatomy, long August 2006 and August 2012 was undertaken. pedicle, and low donor site morbidity. Clinical records were reviewed with respect to patients’ Level of Evidence: Level IV, therapeutic study. age and gender, size and location of defect, type and . . . . . size of flaps, and complications. Keywords Lateral Arm Freeflap Hand Reconstruction Results Twenty-four hand defects were reconstructed Microsurgery using LAFF. These included 15 cutaneous flaps, 8 fas- cial flaps, and 1 osteocutaneous flap. All flaps survived well except for one case that developed arterial insuffi- Introduction ciency and required anastomotic revision. Primary clo- sure of the donor site was possible in
European Journal of Plastic Surgery – Springer Journals
Published: Jul 2, 2016
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