The Free Lateral Arm Flap—A Reliable Option for Reconstruction of the Forearm and Hand

Sauerbier, Michael; Germann, Günter; Giessler, Goetz A.; Salakdeh, M. Sedigh; Doll, Michael

doi:10.1007/s11552-012-9395-3

Cited by 27 publications

(20 citation statements)

References 31 publications

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“…Full text manuscripts of 152 studies were evaluated after reading the abstracts. Twenty‐three studies (Cerkes, Erer, & Sirin, ; Cho, Lee, Weinzweig, & Baik, ; Gideroglu, Cakici, Yildirim, Yazar, & Akoz, ; Giesen et al, ; Gu, Jiang, & Li, ; Hamdi, Van Landuyt, Monstrey, & Blondeel, ; Hing et al, ; Horch & Stark, ; Hsu, Lin, Lin, Lin, & Wei, ; Iglesias et al, ; Kesiktas et al, ; Li, Wu, & Cheng, ; Lin et al, ; Sauerbier, Germann, Giessler, Sedigh Salakdeh, & Doll, ; Spindler et al, ; Wang et al, ; Wang et al, ; Wang et al, ; Wang, Gu, et al, ; Wechselberger, Schoeller, Pülzl, & Piza‐Katzer, ; Woo & Seul, ; Yildirim, Taylan, Eker, & Akoz, ; Zheng et al, ) were finally included in the current meta‐analysis (Figure ).…”

Section: Resultsmentioning

confidence: 99%

Soft tissue free flap for reconstruction of upper extremities: A meta‐analysis on outcome and safety

et al. 2019

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Background The aim of this study was to evaluate outcome and safety of free flaps to the upper extremity by pooled, summarized rates, compared with the existing pooled results of the lower extremity from literature, and to improve the level of evidence in a meta‐analysis. Methods A literature search of PubMed and Embase was conducted addressing publications between January 2000 and April 2018. Publications were selected by inclusion/exclusion criteria on safety and outcome. Postoperative complications were statistically analyzed: flap loss, vessel thrombosis; recipient‐site infection, hematoma, seroma, wound dehiscence, dysesthesia; donor‐site morbidity. Results Two hundred and seventy‐nine patients with 283 free flaps from 23 publications were extracted and eligible for this meta‐analysis. The predominant donor site was the lower extremity (56%), with the anterolateral thigh flap as the major workhorse (30%). The summarized rate of total and partial flap loss was 6.0% (95% CI = 3.0–9.0%, PQ = 1.0000) and 8.0% (95% CI = 6.0–13.0%, PQ = 0.9973), respectively. The rate of arterial and venous thrombosis was 5.0% (95% CI = 3.0–9.0%, PQ = 0.9999) and 8.0% (95% CI = 9.0–37.0%, PQ = 0.9804), respectively. Complication rates of recipient site were: early infection with 7.0% (95% CI = 4.0–11.0%, PQ = 0.9788), hematoma with 6.0% (95% CI = 3.0–8.0%, PQ = 1.0000), seroma with 6.0% (95% CI = 4.0–10.0%, PQ = 0.9948), dehiscence with 7.0% (95% CI = 4.0–11.0%, PQ = 0.9988), and dysesthesia with 6% (95% CI = 4.0–10.0%, PQ = 0.9988). The rate of donor‐site morbidity was 14% (95% CI = 8.0–21.0%, PQ = 0.0895). Conclusions Soft tissue free flaps to the upper extremity have comparable success rates, but higher perioperative complication rates (e.g., partial flap loss, infection, and wound dehiscence) compared to the pooled data of lower extremity reconstruction from existing meta‐analysis.

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Section: Resultsmentioning

confidence: 99%

Soft tissue free flap for reconstruction of upper extremities: A meta‐analysis on outcome and safety

et al. 2019

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“…Considering our results, the propeller flaps can be considered as a viable option to cover small- and medium-sized soft tissue defects of the upper extremities. Using propeller flaps on an upper extremity allows for good cosmetic and functional results in appropriately chosen patients, but complication rates remain important, particularly considering a complication rate for free flaps in the hands of trained surgical teams (Gupta et al, 2015; Miyamoto et al, 2015; Sauerbier et al, 2012). Despite increased interest in this procedure, it is a complex operation that requires experience and careful monitoring.…”

Section: Discussionmentioning

confidence: 99%

Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review

Vitse

Bekara

Bertheuil³

et al. 2016

J Hand Surg Eur Vol

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“…47 The flap can be raised with a skin paddle as large as 20 × 8 cm and a pedicle length up to 11 cm. 48 From a technical standpoint, the radial nerve must be identified and protected during the dissection, and microsurgical expertise is required for harvest. This flap has many advantages: it can be harvested form the ipsilateral Fig.…”

Section: Conventional Option: Lateral Arm Flapmentioning

confidence: 99%

Soft-Tissue Coverage of the Hand

Eberlin¹,

Chang²,

Curtin³

et al. 2014

Plastic and Reconstructive Surgery

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Adequate soft-tissue coverage of the hand is paramount to achieve optimal aesthetic and functional results in patients with complex hand defects. In this article, the authors present four illustrative clinical cases and discuss potential reconstructive modalities. For each scenario, two surgical options are discussed: one established and one nontraditional method of reconstruction. The authors' preferred method and technical pearls for execution are presented.

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The Free Lateral Arm Flap—A Reliable Option for Reconstruction of the Forearm and Hand

Abstract: The free lateral arm flap is a very reliable option for defect coverage at the forearm and hand for small and medium size defects. A satisfactory aesthetic appearance, an excellent tissue quality, and frequent primary donor site closure are great advantages for selecting this flap.

Cited by 27 publications

References 31 publications

Soft tissue free flap for reconstruction of upper extremities: A meta‐analysis on outcome and safety

Soft tissue free flap for reconstruction of upper extremities: A meta‐analysis on outcome and safety

Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review

Soft-Tissue Coverage of the Hand

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