Paraumbilical perforator flap for soft tissue reconstruction of the forearm.

J Hand Surg Am

Division of Plastic & Reconstructive Surgery, Department of Surgery, Indiana University, School of Medicine, Indianapolis, IN; Indiana Hand to Shoulder Center, Indianapolis, IN.

Published: March 2015

AI Article Synopsis

  • There are several types of flaps for covering upper extremity injuries, and the choice depends on patient needs and the nature of the injury.
  • The paraumbilical perforator (PUP) flap is highlighted as a beneficial option that combines advantages of both pedicled and free flaps while minimizing donor-site complications.
  • The text presents two clinical cases to illustrate the use of PUP flaps, delving into important technical details like flap harvest and anatomy.

Article Abstract

Numerous flaps exist for coverage of injuries to the upper extremity, ranging from local, to regional, to free tissue transfer. The choice of flap is dependent on a variety of factors, including patient, functional needs, and depth of injury. The paraumbilical perforator (PUP) flap for upper extremity coverage can offer the benefits and versatility of pedicled and free flaps while avoiding some of the donor-site morbidity and risks of free tissue transfer. We report the indications and management of two clinical cases that exemplify PUP flap application. Technical points of flap harvest, inset, timing of pedicle division, and pertinent anatomy are discussed.

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Source
http://dx.doi.org/10.1016/j.jhsa.2014.12.006DOI Listing

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