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Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application

T. Kempny, Z. Musilova, M. Knoz, M. Joukal, L. Břetislav, H. Jakub, WP. Pöschl, HT. Cheng

. 2022 ; 75 (12) : 4393-4402. [pub] 20220824

Jazyk angličtina Země Nizozemsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22032364

The authors present an anatomical study and clinical experience with radial forearm flap (RFF) and pronator quadratus muscle (PQM) application in the reconstruction of various body areas. The aim was to describe the anatomical placement and proportions of the PQM, the anatomical location of the major arterial branch of the radial artery supplying the PQM, and the application of this knowledge in clinical practice. The anatomical study was based upon an analysis of 13 fresh adult cadaver upper extremities, of which nine were female and four male; both arms from the same donors were used in four cases. The study of the PQM was performed using a dye-containing intraarterial injection, standard macro- and micro-preparation techniques, and chemical digestion. The data on the PQM size in males and females, thickness of the radial artery branch (the principal artery nourishing the muscle), and its position were analysed. The radial artery branch nourishing the PQM was identified in all cadaveric specimens of the anatomical study. In addition, 12 patients underwent reconstructions of soft and bony tissue defects using a RFF + PQM (pedicled or free flap). The radial artery branch perfusing the PQM was identified in all cases. The flap was used for the management of defects of the head (seven cases), arm (three cases) and lower leg (two cases). The harvest site healed well in all cases and, with the exception of one case in which a partial necrosis of the flap was observed, all flaps remained viable, which demonstrated the safety of the method.

Citace poskytuje Crossref.org

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$a Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application / $c T. Kempny, Z. Musilova, M. Knoz, M. Joukal, L. Břetislav, H. Jakub, WP. Pöschl, HT. Cheng
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$a The authors present an anatomical study and clinical experience with radial forearm flap (RFF) and pronator quadratus muscle (PQM) application in the reconstruction of various body areas. The aim was to describe the anatomical placement and proportions of the PQM, the anatomical location of the major arterial branch of the radial artery supplying the PQM, and the application of this knowledge in clinical practice. The anatomical study was based upon an analysis of 13 fresh adult cadaver upper extremities, of which nine were female and four male; both arms from the same donors were used in four cases. The study of the PQM was performed using a dye-containing intraarterial injection, standard macro- and micro-preparation techniques, and chemical digestion. The data on the PQM size in males and females, thickness of the radial artery branch (the principal artery nourishing the muscle), and its position were analysed. The radial artery branch nourishing the PQM was identified in all cadaveric specimens of the anatomical study. In addition, 12 patients underwent reconstructions of soft and bony tissue defects using a RFF + PQM (pedicled or free flap). The radial artery branch perfusing the PQM was identified in all cases. The flap was used for the management of defects of the head (seven cases), arm (three cases) and lower leg (two cases). The harvest site healed well in all cases and, with the exception of one case in which a partial necrosis of the flap was observed, all flaps remained viable, which demonstrated the safety of the method.
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$a Knoz, Martin $u Department of Burns and Plastic Surgery, Institution shared with University Hospital Brno, Faculty of Medicine, Masaryk University, Jihlavská 20, 625 00 Brno, Czech Republic; Clinic of Plastic and Aesthetic surgery, St. Anne's University Hospital, Faculty of Medicine, Pekarska 664/53, 602 00 Brno, Czech Republic. Electronic address: martinknoz@gmail.com
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$a Joukal, Marek $u Department of Anatomy - Faculty of Medicine, Masaryk University, Kamenice 753/5, 625 00 Brno, Czech Republic. Electronic address: mjoukal@med.muni.cz
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$a Břetislav, Lipový $u Department of Burns and Plastic Surgery, Institution shared with University Hospital Brno, Faculty of Medicine, Masaryk University, Jihlavská 20, 625 00 Brno, Czech Republic
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$a Jakub, Holoubek $u Department of Burns and Plastic Surgery, Institution shared with University Hospital Brno, Faculty of Medicine, Masaryk University, Jihlavská 20, 625 00 Brno, Czech Republic
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$a Cheng, Hsu-Tang $u Division of Plastic and Reconstructive Surgery, Department of Surgery, Asia University Hospital, Asia University College of Medical and Health Science, No.222, Fuxin Rd., Wufeng Dist., Taichung, Taiwan; Big Data Center, China Medical University Hospital, No.2, Yude Rd., North Dist., Taichung, Taiwan; Department of Food Nutrition and Health Biotechnology, Asia University, 500 Lioufeng Rd., Wufeng Dist., Taichung, Taiwan
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