Oblique Pedicled Paraumbilical Perforator-Based Flap for Reconstruction of Complex Proximal and Mid-Forearm Defects: A Report of Two Cases

Kristina D. O'Shaughnessy, Vinay Rawlani, John B. Hijjawi, Gregory A. Dumanian*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Reconstruction of complex proximal and mid-forearm wounds can be challenging. Free tissue transfer might not be feasible in certain patients or at institutions lacking microsurgical expertise and equipment. Traditional pedicled flaps are either insufficient in length to reach more proximal forearm defects or are used sparingly due to donor site complications and extremity stiffness. We present a novel technique to reconstruct forearm defects using the oblique pedicled paraumbilical perforator (PUP) based flap. This flap is simple to harvest, has low donor site morbidity, and allows elbow and shoulder range of motion during the interval between flap transfer and pedicle division.

Original languageEnglish (US)
Pages (from-to)1105-1110
Number of pages6
JournalJournal of Hand Surgery
Volume35
Issue number7
DOIs
StatePublished - Jul 2010

Keywords

  • Paraumbilical
  • pedicled flap
  • perforator flap
  • proximal forearm
  • upper extremity reconstruction

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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