Radial forearm flap: arterial supply, nerve?
radial a and musculocutaneous branches via BR
LABC or MABC
what can you cover with the radial forearm flap?
list sites for both as free flap and pedicled flap
Pedicled: hand, wrist, forearm, elbow
free: head/neck, UE, LE, plantar fit neurosensory, esophagus, penis
lateral arm flap: arterial supply? nerve?
artery: posterior br of radial collateral a
posterior cutaneous n of arm (branch of radial n)
what can you cover with the lateral arm flap?
both pedicled and free
pedicled: shoulder, axilla, elbow
medial gastroc flap: arterial supply? nerve supply?
medial sural artery (branch of popliteal a)
motor n: tibial n
sensory n: saphenous (medial), sural (lateral)
what can you cover with medial gastroc flap?
proximal 1/3 tibia
distal 1/3 posterior thigh
rectus femoris flap: dominant arterial supply and nerve?
artery: descending lateral circumflex femoral a
nerve: femoral n (motor), anterior fem cutaneous n (sensory)
what can you cover with rectus femoris flap?
inferior abdomen, groin, pubic/perineal region
gracillis flap: major arterial supply and nerve?
medial femoral circumflex a
anterior obturator n
coverage of gracillis flap?
pedicled: perineal region, complex pelvic injuries
free flap: extremities and head/neck
midshaft tibia defect. What flap can you use to cover it?
Name & Describe the vascular classification for muscle flaps
Mathes & Nahai
Type 1: 1 vacular pedicle (Tensor Fascia Latae)
Type 2: 1 dominant + minor pedicle (Gracilis)
Type 3: 2 dominant pedicles (G.max)
Type 4: Segmental (Sartorius)
Type 5: 1 dominant & secondary segmental pedicles (latissimus dorsi)