The Posterior Arm Free Flap

Clinical Applications of Perforator-Based Propeller Flaps in Upper Limb Soft Tissue Reconstruction

“…18,19,30,[35][36][37][38][39][40][41][42][43][44][45][46][47][48] The elbow, wrist, and hand represent the 3 areas in the upper limb that usually require flap reconstruction. The perforator flaps available for elbow reconstruction include 5 flaps: (1) inferior ulnar collateral artery perforator flap (IUCAP), 6,37,38 (2) SUCAP, 6,39,40 (3) BAP, 6,49,50 (4) RRAP, 6,51-53 and (5) RCAP. 6,39,54 -56 Two perforator flaps are available for wrist and hand reconstruction: RAP 6,30,42-45 and UAP.…”

The versatility of the islanded posterior arm flap for regional reconstruction around the axilla

“…The blood supply of the PAF is derived from an unnamed artery originating from the brachial or deep brachial artery which traverses the aponeurosis of the triceps brachii muscle near the termination of the tendon of the teres major. 12 Its first description is credited to Masquelet et al, 13 but this author used it as a free flap. However, the pedicled variant of the PAF is also a very versatile fasciocutaneous flap that is suitable for axillary reconstruction and has been described after wide excision of the hair-bearing skin in patients with severe HS 14À15 or for release of axillary burn contractures.…”

Posterior Arm Perforator Flap for Axillary Reconstruction After Hidradenitis Suppurativa Excision

“…22 The posterior arm flap was first described by Masquelet in 1985, 23 and such flaps were used as free flaps in the reconstruction of hand and foot defects. 24 It was next described as a pedicled fasciocutaneous transposition flap for axillary reconstruction by Elliot et al in 1992. 25 Afterward, its use was reported in the repair of axillary defects, although not very frequently.…”