neigenden chirurgischen angelegten Gehörganges wurde am verläßlichsten mit, Wir machen ein lebendes Transplantat mit einem Abdomen-, The indications for both procedures and the advantages and disadvantages of free and. All registration fields are required. After the flap dissection is complete, apply a micro-vascular clamp to the proximal radial artery prior to releasing the tourniquet. Ann Plast Surg. In: ASSH Surgical Anatomy: Flap Reconstruction. Chung KC, Moran SL. In free transplantations the sucess-rate was 88% and in, Die Erfolgsquote bei freiem Lappentransfer beträgt im eigenen Krankengut 88%, bei. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. They can include vascularized tendon and bone. Gestielte Lappenplastiken. The sartorius fascia was harvested together with the flap to prevent damage to the superficial circumflex iliac artery, which was located superficial to the fascia. If desired, perform a venous anastomosis prior to insetting the flap ( Fig. Three-flap cover for total hand degloving. 2001;108:1624–1638. Furthermore, a long tube-shaped pedicle in this flap can reduce the patient discomfort and prevent finger stiffness by allowing a range of motion exercise. It was initially developed as a free flap in 1978 by Yang Goufan and coworkers in China.1 It was subsequently described as a pedicled flap using either antegrade or retrograde blood flow.2 In 1979 Foucher and Braun reported mobilizing the radial artery in the snuffbox and passing an island flap underneath the thumb extensors to allow the flap to reach the thumb tip.3 The flap includes the volar forearm skin, the underlying antebrachial fascia, and the intermuscular fascia, which contains the radial artery and its cutaneous branches. finden gleichermaßen Anwendung in der Onkologie wie Traumatologie. Received for publication November 4, 2019; accepted February 4, 2020. Kota Hayashi, MD, Ogori Daiichi General Hospital, 862-3, Shimogo, Ogori, Yamaguchi City, Yamaguchi Prefecture 754-0002, Japan, E-mail: the_kotable2@yahoo.co.jp. Develop a plane deep to the radial artery at the wrist and find the intermuscular septum between the flexor carpi radialis (FCR) and the brachioradialis. 30 von 32 Schwenklappen sind primär eingeheilt. The radial forearm flap can be raised as a composite skin flap, including vascularized bone and tendon for thumb reconstruction. The procedure is done under brachial block or general anesthesia using loupe magnification, but the operating microscope may be needed for any venous anastomoses or neurorrhaphy. 4.3 ). Please try after some time. Wolters Kluwer Health He was on complete bed rest before ambulation was permitted after 1 week. besonders wichtig, um funktionelle Beeinträchtigungen zu verringern. Venous drainage of the radial forearm flap is by means of both the superficial and deep veins. It was initially developed as a free flap in 1978 by Yang Goufan and coworkers in China.1 It was subsequently described as a pedicled flap using either antegrade or retrograde blood flow.2… 10. 8. The advantages of a bilobed pedicle groin flap are that it allows coverage of both the volar and dorsal surfaces at one setting and primary closure of the donor site is possible. Dissect the interval between the deep fascia and the muscle. are comparably applied in oncology and traumatology. haben sich für ausgedehnte Rekonstruktionen der cervicalen Luftrohre fur sehr niitzlich erwiesen. Legemate CM(1), van der Kwaak M(2), Gobets D(2), Huikeshoven M(3), van Zuijlen PPM(4). The entire flap survived well without any skin necrosis and it was divided after 5 weeks. Primary wound healing was found in 29 of 31 myocutaneous flaps. Secondary reconstructive surgeries consisting of tenolysis of the extensor tendons and Sauve–Kapandji procedure, tenolysis of flexor tendons, and flap debulking were performed at 4, 6, and 10 months, respectively, after the replantation. One author postulated that the combination of these factors allows reverse flow through the venous valves.

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