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Various types of tissue may be transferred as a "free flap" including skin and fat, muscle, nerve, bone, cartilage (or any combination of these), lymph nodes and intestinal segments. An example of "free flap" could be a "free toe transfer" in which the great toe or the second toe is transferred to the hand to reconstruct a thumb. [1]
Free flap: Mandible reconstruction Shutter design flap: Cutaneous: Advancement: Forehead excisions Superficial inferior epigastric artery (SIEA) flap: Cutaneous: Free flap: Free flap breast reconstruction: Superior gluteal artery perforator (SGAP) flap: Cutaneous: Free flap: Free flap breast reconstruction: Transverse rectus abdominis ...
A free flap is defined as a tissue mass that has been taken away from the original site to be used in tissue transplantation. [11] When a surgeon uses a free flap, the blood supply is cut and the pedicle reattached to recipient vessels, performing a microsurgical anastomosis. [12] For more information on free flaps, see also free flap.
Thanks to further refinements of microvascular techniques in the past three decades, transfer of a free flap is now a routine procedure. Free flaps are the first choice in case of complex, composite, and through-through cheek defects with exposed bone, sinuses, orbit or dura. Advantages of free flaps are their reliable blood supply and freedom ...
Flap surgery is a technique in plastic and reconstructive surgery where tissue with an intact blood supply is lifted from a donor site and moved to a recipient site. Flaps are distinct from grafts, which do not have an intact blood supply and relies on the growth of new blood vessels.
The interosseous membrane divides the forearm into anterior and posterior compartments, serves as a site of attachment for muscles of the forearm, and transfers loads placed on the forearm. The interosseous membrane is designed to shift compressive loads (as in doing a hand-stand) from the distal radius to the proximal ulna.
At this age, the relatively slower growth of the ulnar and palmar part of the radius, leads to an increasingly progressive deformity. Pain and deformity are the main symptoms patients present with. [1] Typical clinical presentation consists of a short forearm, anterior-ulnar bow of the radius and a forward subluxation of the hand on the forearm.
Both pedicled and free flaps can be muscular or musculocutaneous (the so- called "composite flaps"). As a pedicled flap, gracilis muscle can be used in perineal and vaginal reconstruction, after oncological surgery, in the treatment of recurrent anovaginal and rectovaginal fistulas as well in the coverage of the neurovascular bundle after ...