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Flashcards in flaps for ortho Deck (12)
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1

Radial forearm flap: arterial supply, nerve?

radial a and musculocutaneous branches via BR

LABC or MABC

2

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

3

lateral arm flap: arterial supply? nerve?

artery: posterior br of radial collateral a

posterior cutaneous n of arm (branch of radial n)

4

what can you cover with the lateral arm flap?

both pedicled and free

pedicled: shoulder, axilla, elbow

free: head/neck

5

medial gastroc flap: arterial supply? nerve supply?

medial sural artery (branch of popliteal a)

 

motor n: tibial n

sensory n: saphenous (medial), sural (lateral)

6

what can you cover with medial gastroc flap?

proximal 1/3 tibia

anterior knee

distal 1/3 posterior thigh

popliteal fossa

 

7

rectus femoris flap: dominant arterial supply and nerve?

artery: descending lateral circumflex femoral a

nerve: femoral n (motor), anterior fem cutaneous n (sensory)

8

what can you cover with rectus femoris flap?

inferior abdomen, groin, pubic/perineal region

9

gracillis flap: major arterial supply and nerve?

medial femoral circumflex a

anterior obturator n

10

coverage of gracillis flap?

pedicled: perineal region, complex pelvic injuries

free flap: extremities and head/neck

11

midshaft tibia defect.  What flap can you use to cover it?

soleus flap

12

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)