The ulnar flap ? Description and applications

Versatility of the Reverse Dorsoulnar Fasciocutaneous Flap in Coverage of Hand Defects: Clinical Experience With 36 Cases

“…It does not reach the distal surface of the palm. 10 The distally based pedicle dorsoulnar forearm flap described by Karacalar and Özcan was not used because the rotation point is near the insertion of the extensor carpi ulnaris tendon. 20 We used the pedicle reverse dorsoulnar flap to repair moderate-sized wounds on the hypothenar aspect of the hand.…”

“…[1][2][3][4][5][6][7][8][9] In 1988, Becker and Gilbert introduced the reverse dorsoulnar flap as a perforator flap nourished by the dorsoulnar artery and venae comitantes. 10,11 Since then, a number of clinical reports have been published regarding its use in soft tissue defects of the hand. [12][13][14][15][16][17] We have used a number of designs of the dorsoulnar flap, depending on the needs of the recipient areas, including free and local pedicle fasciocutaneous flaps.…”

Clinical study of dorsal ulnar artery flap in hand reconstruction

“…Various flaps have been The dorsal ulnar artery fasciocutaneous flap was first described by Becker and Gilbert in 1988, as a local flap for covering small skin defects of hand. [1,2] The disadvantages 5 cm. [2,4] Holevich-Madjarova et al, in 1991 also suggested that it should only be used for coverage of "small defects over the volar or dorsal aspect of the wrist and ulnar palm surface".…”

“…[1,2] The disadvantages 5 cm. [2,4] Holevich-Madjarova et al, in 1991 also suggested that it should only be used for coverage of "small defects over the volar or dorsal aspect of the wrist and ulnar palm surface". Other workers reported use of dorsal ulnar artery flap variations as the osteocutaneous flap, [6] Figure 4a: Case 3, pre-op defect of palm with dorsal ulnar artery island ß ap markings Figure 4b: Case 3, post-op result at six weeks neurocutaneous flap [3] and for different indications in hand reconstruction.…”

“…The dorsal ulnar artery fasciocutaneous flap was first described by , perfused by the ascending branch of the dorsal ulnar artery, one of the major branches of the ulnar artery in the distal forearm. [1][2][3][4] The importance of this flap lies in the possibility of mobilization of tissue for reconstruction of the hand without losing a major vascular axis. The dorsal ulnar artery fasciocutaneous flap can be raised as a hinge (peninsular), or as a true island flap.…”