title: Paraumbilical perforator flap for soft tissue reconstruction of the forearm.
abstract: Numerous flaps exist for coverage of injuries to the upper extremity, ranging from local, to regional, to free tissue transfer. The choice of flap is dependent on a variety of factors, including patient, functional needs, and depth of injury. The paraumbilical perforator (PUP) flap for upper extremity coverage can offer the benefits and versatility of pedicled and free flaps while avoiding some of the donor-site morbidity and risks of free tissue transfer. We report the indications and management of two clinical cases that exemplify PUP flap application. Technical points of flap harvest, inset, timing of pedicle division, and pertinent anatomy are discussed.
authors: Division of Plastic & Reconstructive Surgery, Department of Surgery, Indiana University, School of Medicine, Indianapolis, IN; Indiana Hand to Shoulder Center, Indianapolis, IN. Electronic address: Gutwein@iupui.edu.
authors: Luke G
authors: LG
authors: Gutwein
authors: Division of Plastic & Reconstructive Surgery, Department of Surgery, Indiana University, School of Medicine, Indianapolis, IN; Indiana Hand to Shoulder Center, Indianapolis, IN.
authors: Gregory A
authors: GA
authors: Merrell
authors: Division of Plastic & Reconstructive Surgery, Department of Surgery, Indiana University, School of Medicine, Indianapolis, IN; Indiana Hand to Shoulder Center, Indianapolis, IN.
authors: Kevin R
authors: KR
authors: Knox
mesh_terms: D034861:Abdominal Wall / Q000601:surgery; D000293:Adolescent; D005500:Follow-Up Studies; D005543:Forearm Injuries / Q000175:diagnosis / Q000601:surgery*; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009011:Monteggia's Fracture / Q000000981:diagnostic imaging / Q000601:surgery; D061525:Perforator Flap / Q000098:blood supply / Q000637:transplantation*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000379:methods; D016896:Treatment Outcome; D014472:Umbilicus; D014945:Wound Healing / Q000502:physiology*
keywords: Forearm injury; abdominal flap; paraumbilical perforator flap; regional flap