Inferior Cubital Artery Perforator Flap for Soft-Tissue Coverage of the Elbow

• DOI: 10.2106/jbjs.o.00760
• Publication Date: 2016-03-16T20:19:35Z
• Authors: Olivier Camuzard; Rémi Foissac; Cyril Clerico; Jonathan Fernandez; Thierry Balaguer; Tarik Ihrai; Fernand de Peretti; Patrick Baqué; Pascal Boileau; Charalambos Georgiou; Nicolas Bronsard
• Keywords: Cadaveric spasm; Perforator flaps

Background: Soft-tissue defects surrounding the elbow can be a challenging problem for orthopaedic surgeon. Reliable reconstruction with use of muscular flaps or even perforator derived from vessels has been described. The inferior cubital artery (ICA) is an indirect septocutaneous branch that most frequently arises lateral side radial artery. purposes present study were to characterize capillary cutaneous perforators ICA and evaluate potential local flap procedure soft-tissue coverage elbow. Methods: Twenty fresh cadaveric forearms dissected in order describe anatomy, ten additional was selectively injected red ink solution detail vascular territory. For each artery, we recorded site origin, diameter at its source, course number, type, perforators. Results: A total seventy-eight analyzed twenty forearms: forty-six in-transit perforators, nineteen terminal thirteen musculocutaneous Of these sixteen (21%) had caliber <0.5 mm sixty-two (79%) ≥0.5 mm. Ten ICAs injected, mean size all stained skin areas 30.9 ± 11.9 cm 2 . pedicled readily feasible dissections. We also case patient medial defect covered based on ICA. satisfactory healing two months. Conclusions: reliable useful reconstruction. Clinical Relevance: major advancement reconstructive surgery. One application tissue adjacent as perforator-based island flap. this allows thinner tailored more accurate depends called seems excellent