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Erschienen in: Archives of Orthopaedic and Trauma Surgery 2/2015

01.02.2015 | Handsurgery

Medial triceps brachii free flap in reconstructive surgery: a prospective study in eight patients

verfasst von: Anaïs Delgove, Franck Marie Leclère, Federico Villani, Gael Piquilloud, Ali Mojallal, Vincent Casoli

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 2/2015

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Abstract

Introduction

In this study, we present a prospective series of medial triceps free flaps for ankle and foot complex defects coverage and discuss its numerous advantages.

Materials and methods

Between January 2011 and December 2012, eight patients, two women and six men underwent medial triceps brachii (MTB) free flap procedure to cover defects localized at the ankle and foot in our department. Patient mean age was 37.3 ± 15.2 years at the time of surgery (range of 13–53 years). Mean defect size to be covered was 21.8 ± 9.9 cm2. The bone was exposed at the level of the calcaneum in six cases, at the level of the forefoot in one case, and at the level of the lateral malleolus in one case. Special attention was accorded to intra-operative findings. Flap survival and complications on both the donor and recipient site were prospectively evaluated.

Results

Mean MTB flap raising time was 51.3 ± 6.0 min. All the flaps survived and there was no partial flap necrosis. A skin graft was performed after a mean time of 11.8 ± 2.1 days post-operative. The mean follow-up was 18.1 ± 3.8 months. Complications at the donor site level included one hematoma and a case of hypertrophic scar. Complete healing of both the donor and recipient sites was achieved in all cases.

Conclusions

MTB free flap appears to be a useful option for covering small to medium defects in lower limb extremities. Due to the constant anatomy of the MTB nerve, we suggest that the flap could also be used as an innervated free flap for small or medium muscular reanimation such as sequelae of forearm and hand muscle impairment, or facial palsy.
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Metadaten
Titel
Medial triceps brachii free flap in reconstructive surgery: a prospective study in eight patients
verfasst von
Anaïs Delgove
Franck Marie Leclère
Federico Villani
Gael Piquilloud
Ali Mojallal
Vincent Casoli
Publikationsdatum
01.02.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 2/2015
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-014-2102-9

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