title: Oblique pedicled paraumbilical perforator-based flap for reconstruction of complex proximal and mid-forearm defects: a report of two cases.
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.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
authors.forename: Kristina D
authors.initials: KD
authors.lastname: O'Shaughnessy
authors.forename: Vinay
authors.initials: V
authors.lastname: Rawlani
authors.forename: John B
authors.initials: JB
authors.lastname: Hijjawi
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Dumanian
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery; D005500:Follow-Up Studies; D005543:Forearm Injuries / Q000175:diagnosis / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D011885:Radius Fractures / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012039:Regional Blood Flow / Q000502:physiology; D018570:Risk Assessment; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D014458:Ulna Fractures / Q000601:surgery; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult