The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand
Background It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2017-09-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.5.420 |
| _version_ | 1798005917909778432 |
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| author | Byung-Joon Jeon Seung Jun Jwa Dong Chul Lee Si Young Roh Jin Soo Kim |
| author_facet | Byung-Joon Jeon Seung Jun Jwa Dong Chul Lee Si Young Roh Jin Soo Kim |
| author_sort | Byung-Joon Jeon |
| collection | DOAJ |
| description | Background It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand.
Methods Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013. Adequate bed preparations with thorough debridement or contracture release were performed. The entire anconeus muscle, located at the elbow superficially, was harvested, with the posterior recurrent interosseous artery as a pedicle. The defects were covered with a uniformly trimmed anconeus muscle free flap. Additional debulking of the flap and skin coverage using a split-thickness skin graft were performed 3 weeks after the first operation.
Results The average flap size was 18.7 cm2 (range, 13.5–30 cm2). All flaps survived without significant complications. Vein grafts for overcoming a short pedicle were necessary in 4 cases.
Conclusions The anconeus muscle free flap can be considered a reliable reconstructive option for small defects on the hand or contracture release of the web space, because it has relatively consistent anatomy, provides robust blood supply within the same operative field, and leads to no functional loss at the donor site. |
| first_indexed | 2024-04-11T12:46:43Z |
| format | Article |
| id | doaj.art-b97d7dbbb26c4752a8d3c199a6742657 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T12:46:43Z |
| publishDate | 2017-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-b97d7dbbb26c4752a8d3c199a67426572022-12-22T04:23:19ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712017-09-01440542042710.5999/aps.2017.44.5.420848The Anconeus Muscle Free Flap: Clinical Application to Lesions on the HandByung-Joon Jeon0Seung Jun Jwa1Dong Chul Lee2Si Young Roh3Jin Soo Kim4Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Plastic Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, KoreaDepartment of Plastic Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, KoreaDepartment of Plastic Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, KoreaDepartment of Plastic Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, KoreaBackground It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand. Methods Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013. Adequate bed preparations with thorough debridement or contracture release were performed. The entire anconeus muscle, located at the elbow superficially, was harvested, with the posterior recurrent interosseous artery as a pedicle. The defects were covered with a uniformly trimmed anconeus muscle free flap. Additional debulking of the flap and skin coverage using a split-thickness skin graft were performed 3 weeks after the first operation. Results The average flap size was 18.7 cm2 (range, 13.5–30 cm2). All flaps survived without significant complications. Vein grafts for overcoming a short pedicle were necessary in 4 cases. Conclusions The anconeus muscle free flap can be considered a reliable reconstructive option for small defects on the hand or contracture release of the web space, because it has relatively consistent anatomy, provides robust blood supply within the same operative field, and leads to no functional loss at the donor site.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.5.420skeletal musclefree tissue flapshandosteomyelitis |
| spellingShingle | Byung-Joon Jeon Seung Jun Jwa Dong Chul Lee Si Young Roh Jin Soo Kim The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand Archives of Plastic Surgery skeletal muscle free tissue flaps hand osteomyelitis |
| title | The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand |
| title_full | The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand |
| title_fullStr | The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand |
| title_full_unstemmed | The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand |
| title_short | The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand |
| title_sort | anconeus muscle free flap clinical application to lesions on the hand |
| topic | skeletal muscle free tissue flaps hand osteomyelitis |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.44.5.420 |
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