Anatomical and Clinical Perspective of Medial Arm Region Perforators-A Potential Flap for Reconstructive Surgeries
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 2
Abstract
ABSTRACT Introduction: The medial arm region can be a potential donor site for the flap surgeries because of its excellent colour and ideal thickness. It is an excellent choice for coverage of elbow, axilla, distant microvascular transfer, as the free posterior brachial fascial flap or the superficial circumflex iliac artery perforator flap, to head and neck, upper and lower extremities. Aim: To locate a consistent site and dimensions of perforators in medial arm region so as to make it easier for surgeons to design medial arm perforator flaps for various surgeries. Materials and Methods: 30 upper limbs of 15 fresh adult cadavers with mean age of 79±3 years were studied. Dimensions, total number, location and source vessel of individual perforators were determined. Also, brachial artery, its branches and course along with variations, if any were studied. Results: Consistent location was found to be 9.32±0.46 cm proximal and 4.4±1.72 cm medial to the medial epicondyle. Total number of perforators was 192. Brachial artery was the main source vessel in 67% (128) of cases, followed by superior ulnar collateral artery in 28% (54) of the cases. 56% (107) of the perforators had diameter more than 0.5 mm, while 33% (64) had diameter more than 1 mm. Mean length of perforators was found to be 33.76±0.52 mm. Conclusion: Larger the diameter of the perforator lesser is the chances of necrosis of the flap due to better vascularisation. As 89% (171) of perforators in the medial arm region had diameter more than 0.5 mm, there are higher chances of successful flap surgeries. Knowledge of consistent position of perforators can help in designing of flaps accordingly.
Authors and Affiliations
RICHA GUPTA, TULIKA GUPTA, SUNIL GABA, ANJALI AGGARWAL, KAUR HARJEET, DAISY SAHNI
Keywords
Related Articles
- EP ID EP532276
- DOI 10.7860/JCDR/2018/26498.11216
- Views 73
- Downloads 0
Clinicomicrobiological Study of Bacteraemia Caused by Coliforms in Adults
Introduction: Bacteraemia due to gram-negative bacilli is a huge challenge to the clinicians because of the rapidly emerging multidrug resistance among these microorganisms. Aim: To study the associated infections and ri...
Paraoxonase 1 Gene Polymorphism (rs662) and Increased Risk of Idiopathic Foetal Growth Restriction
Introduction: Idiopathic Foetal Growth Restriction (IFGR) is a major health challenge. One of the proposed mechanisms for IFGR is oxidative stress. Paraoxonase (PON) enzyme protects Low Density Lipoprotein (LDL) from oxi...
An Anatomical Landmark to Identify the Neurovascular Bundle in the Dorsum of Foot - A Cadaveric Study in South Indian Population
Introduction: The Neurovascular Bundle (NVB) in the dorsum of the foot is likely to get injured during midfoot surgeries. Finding an anatomical landmark to identify this NVB is essential to prevent iatrogenic injury. Aim...
Legendary Hero: Dr. G.V. Black (1836-1915)
Editorial
Depression, its Correlates and Effects in Ever Married Urban Women Residing in Kumaon Region of Uttarakhand
ABSTRACT Introduction: In the global context, independent studies on depression show that women are twice as likely as men to suffer from clinical depression. It is also described as an important cause of premature morta...