The lateral arm flap is positioned on the lateral side of the higher arm and is provided by the posterior radial collateral artery. The vessel is 0.75-1.5 mm in diameter, and the pedicle is eight cm in length. The flap may be designed with a 6-eight cm width, which permits main closure of the wound. If the width is bigger, the donor site requires grafting. Throughout dissection of the flap, take precautions to keep away from damage to the radial nerve. The flap can be utilized as a free flap or in a retrograde style for protection of elbow defects.
This flap additionally might be designed as a sensate flap based on the antebrachial cutaneous nerves of the arm and forearm. Sometimes, muscle, bone, or tendon is integrated into the flap. The medial arm flap relies on the skin of the medial arm, thus has the advantage of making a hidden scar at the donor site. The superior ulnar collateral or branches of the brachial artery provide the blood provide.
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