Gewählte Publikation:
Haas, F; Rappl, T; Koch, H; Pittler, P; Scharnagl, E.
Free osteocutaneous lateral arm flap: anatomy and clinical applications.
Microsurgery. 2003; 23(2):87-95
Doi: 10.1002/micr.10112
(- Case Report)
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Haas Franz
- Co-Autor*innen der Med Uni Graz
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Koch Horst
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Pittler Petra
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Rappl Thomas
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Scharnagl Erwin
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- Abstract:
- For many surgeons, the potential to reconstruct skin, fascia, tendon, or bone in a single-stage procedure has made the lateral arm flap the technique of choice for reconstruction of complex defects. The aim of this study was to examine more closely how the humeral bone is supplied by the posterior collateral radial artery. To this end, we dissected 30 cadaver arms to determine the vascular relationship of the lateral arm flap to the humerus. The number of directly supplying vessels, and height to the lateral epicondyle of the humerus, were examined. The reconstructive potential of the osteocutaneous flap in different indications is analyzed in a series of five clinical cases. In all dissected extremities, we found one or two branches of the posterior collateral artery directly and constantly supplying the bone between 2-7 cm proximal to the lateral epicondyle. In five cases, combined defects, including bone, were successfully reconstructed with lateral arm flaps, including vascularized bone.
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Adolescent -
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Adult -
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Bone Diseases - pathology Bone Diseases - physiopathology Bone Diseases - surgery
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Bone Transplantation -
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Collateral Circulation - physiology
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Humans -
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Humerus - pathology Humerus - physiopathology Humerus - transplantation
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Male -
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Middle Aged -
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Radial Artery - pathology Radial Artery - physiopathology Radial Artery - transplantation
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Recovery of Function - physiology
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Skin Transplantation -
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Soft Tissue Injuries - pathology Soft Tissue Injuries - physiopathology Soft Tissue Injuries - surgery
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Surgical Flaps - pathology Surgical Flaps - physiology