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, Jakub HOLOUBEK, Wolfgang Paul PÖSCHL and 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, vol. 75, No 12, p. 4393-4402. ISSN 1748-6815. Available from: https://dx.doi.org/10.1016/j.bjps.2022.08.043.

Basic information

• Original name: Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application
• Authors: KEMPNÝ, Tomáš (203 Czech Republic), Zuzana MUSILOVÁ (203 Czech Republic, belonging to the institution), Martin KNOZ (203 Czech Republic, belonging to the institution), Marek JOUKAL (203 Czech Republic, guarantor, belonging to the institution), Břetislav LIPOVÝ (203 Czech Republic, belonging to the institution), Jakub HOLOUBEK (203 Czech Republic, belonging to the institution), Wolfgang Paul PÖSCHL (40 Austria) and Hsu-Tang CHENG.
• Edition: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, OXFORD, ELSEVIER SCI LTD, 2022, 1748-6815.

Other information

• Original language: English
• Type of outcome: Article in a journal
• Field of Study: 30212 Surgery
• Country of publisher: Czech Republic
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• Impact factor: Impact factor: 2.700
• RIV identification code: RIV/00216224:14110/22:00128199
• Organization unit: Faculty of Medicine
• Doi: http://dx.doi.org/10.1016/j.bjps.2022.08.043
• UT WoS: 000907046600007
• Keywords in English: Radial forearm flap (RFF); Pronator quadratus muscle (PQM); Anatomical study; Radial artery
• Tags: 14110128, 14110229, 14110514, rivok
• Tags: International impact, Reviewed

Abstract

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.

Links

• MUNI/A/1331/2021, interní kód MU: Name: Funkční morfologie: od molekulární biologie ke klinické anatomii

Investor: Masaryk University