Use of free radial forearm and pronator quadratus muscle flap:
Anatomical study and clinical application

J 2022

Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application

KEMPNÝ, Tomáš, Zuzana MUSILOVÁ, Martin KNOZ, Marek JOUKAL, Břetislav LIPOVÝ et. al.

Základní údaje

Originální název

Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application

Autoři

KEMPNÝ, Tomáš (203 Česká republika), Zuzana MUSILOVÁ (203 Česká republika, domácí), Martin KNOZ (203 Česká republika, domácí), Marek JOUKAL (203 Česká republika, garant, domácí), Břetislav LIPOVÝ (203 Česká republika, domácí), Jakub HOLOUBEK (203 Česká republika, domácí), Wolfgang Paul PÖSCHL (40 Rakousko) a Hsu-Tang CHENG

Vydání

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, OXFORD, ELSEVIER SCI LTD, 2022, 1748-6815

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.700

Kód RIV

RIV/00216224:14110/22:00128199

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1016/j.bjps.2022.08.043

UT WoS

000907046600007

Klíčová slova anglicky

Radial forearm flap (RFF); Pronator quadratus muscle (PQM); Anatomical study; Radial artery

Štítky

14110128, 14110229, 14110514, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 9. 1. 2024 10:20, Mgr. Tereza Miškechová

Anotace

V originále

The authors present an anatomical study and clinical experience with radial fore-arm flap (RFF) and pronator quadratus muscle (PQM) application in the reconstruction of various body areas. The aim was to describe the anatomical placement and proportions of the PQM, the anatomical location of the major arterial branch of the radial artery supplying the PQM, and the application of this knowledge in clinical practice.The anatomical study was based upon an analysis of 13 fresh adult cadaver upper extremities, of which nine were female and four male; both arms from the same donors were used in four cases. The study of the PQM was performed using a dye-containing intraarterial injection, stan-dard macro- and micro-preparation techniques, and chemical digestion. The data on the PQM size in males and females, thickness of the radial artery branch (the principal artery nourishing the muscle), and its position were analysed. The radial artery branch nourishing the PQM was identified in all cadaveric specimens of the anatomical study. In addition, 12 patients underwent reconstructions of soft and bony tissue defects using a RFF + PQM (pedicled or free flap). The radial artery branch perfusing the PQM was identi-fied in all cases. The flap was used for the management of defects of the head (seven cases), arm (three cases) and lower leg (two cases). The harvest site healed well in all cases and, with the exception of one case in which a partial necrosis of the flap was observed, all flaps remained viable, which demonstrated the safety of the method.

Návaznosti

MUNI/A/1331/2021, interní kód MU

Název: Funkční morfologie: od molekulární biologie ke klinické anatomii

Investor: Masarykova univerzita, Funkční morfologie: od molekulární biologie ke klinické anatomii

Citovat

KEMPNÝ, Tomáš, Zuzana MUSILOVÁ, Martin KNOZ, Marek JOUKAL, Břetislav LIPOVÝ, Jakub HOLOUBEK, Wolfgang Paul PÖSCHL a Hsu-Tang CHENG. Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY. OXFORD: ELSEVIER SCI LTD, 2022, roč. 75, č. 12, s. 4393-4402. ISSN 1748-6815. Dostupné z: https://dx.doi.org/10.1016/j.bjps.2022.08.043.

@article{2248397,
   author = {Kempný, Tomáš and Musilová, Zuzana and Knoz, Martin and Joukal, Marek and Lipový, Břetislav and Holoubek, Jakub and Pöschl, Wolfgang Paul and Cheng, HsuandTang},
   article_location = {OXFORD},
   article_number = {12},
   doi = {http://dx.doi.org/10.1016/j.bjps.2022.08.043},
   keywords = {Radial forearm flap (RFF); Pronator quadratus muscle (PQM); Anatomical study; Radial artery},
   language = {eng},
   issn = {1748-6815},
   journal = {JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY},
   title = {Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application},
   url = {https://www.sciencedirect.com/science/article/pii/S1748681522004880?via%3Dihub},
   volume = {75},
   year = {2022}
}

TY  - JOUR
ID  - 2248397
AU  - Kempný, Tomáš - Musilová, Zuzana - Knoz, Martin - Joukal, Marek - Lipový, Břetislav - Holoubek, Jakub - Pöschl, Wolfgang Paul - Cheng, Hsu-Tang
PY  - 2022
TI  - Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application
JF  - JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
VL  - 75
IS  - 12
SP  - 4393-4402
EP  - 4393-4402
PB  - ELSEVIER SCI LTD
SN  - 17486815
KW  - Radial forearm flap (RFF)
KW  - Pronator quadratus muscle (PQM)
KW  - Anatomical study
KW  - Radial artery
UR  - https://www.sciencedirect.com/science/article/pii/S1748681522004880?via%3Dihub
N2  - The authors present an anatomical study and clinical experience with radial fore-arm flap (RFF) and pronator quadratus muscle (PQM) application in the reconstruction of various body areas. The aim was to describe the anatomical placement and proportions of the PQM, the anatomical location of the major arterial branch of the radial artery supplying the PQM, and the application of this knowledge in clinical practice.The anatomical study was based upon an analysis of 13 fresh adult cadaver upper extremities, of which nine were female and four male; both arms from the same donors were used in four cases. The study of the PQM was performed using a dye-containing intraarterial injection, stan-dard macro- and micro-preparation techniques, and chemical digestion. The data on the PQM size in males and females, thickness of the radial artery branch (the principal artery nourishing the muscle), and its position were analysed. The radial artery branch nourishing the PQM was identified in all cadaveric specimens of the anatomical study. In addition, 12 patients underwent reconstructions of soft and bony tissue defects using a RFF + PQM (pedicled or free flap). The radial artery branch perfusing the PQM was identi-fied in all cases. The flap was used for the management of defects of the head (seven cases), arm (three cases) and lower leg (two cases). The harvest site healed well in all cases and, with the exception of one case in which a partial necrosis of the flap was observed, all flaps remained viable, which demonstrated the safety of the method.
ER  -

KEMPNÝ, Tomáš, Zuzana MUSILOVÁ, Martin KNOZ, Marek JOUKAL, Břetislav LIPOVÝ, Jakub HOLOUBEK, Wolfgang Paul PÖSCHL a Hsu-Tang CHENG. Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application. \textit{JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY}. OXFORD: ELSEVIER SCI LTD, 2022, roč.~75, č.~12, s.~4393-4402. ISSN~1748-6815. Dostupné z: https://dx.doi.org/10.1016/j.bjps.2022.08.043.

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