Donor-site morbidity of the sensate extended lateral arm flap.

Détails

ID Serval
serval:BIB_90D58A92B746
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Donor-site morbidity of the sensate extended lateral arm flap.
Périodique
Journal of Reconstructive Microsurgery
Auteur(s)
Depner C., Erba P., Rieger U.M., Iten F., Schaefer D.J., Haug M.
ISSN
1098-8947 (Electronic)
Statut éditorial
Publié
Date de publication
02/2012
Volume
28
Numéro
2
Pages
133-138
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
The free extended lateral arm flap (ELAF) has gained increasing popularity thank to its slimness and versatility, longer neurovascular pedicle, and greater flap size when compared with the original flap design. The aim of this study was to assess the donor-site morbidity associated with this extended procedure. A retrospective study of 25 consecutive patients analyzing postoperative complications using a visual analogue scale questionnaire revealed high patients satisfaction and negligible donor-site morbidity of the ELAF. Scar visibility was the commonest negative outcome. Impaired mobility of the elbow had the highest correlation with patient dissatisfaction. Sensory deficits or paresthetic disorders did not affect patient satisfaction. The extension of the lateral arm flap and positioning over the lateral humeral epicondyle is a safe and well-accepted procedure with minimal donor-site morbidity. To optimize outcomes, a maximal flap width of 6 or 7 cm and intensive postoperative mobilization therapy is advisable.
Mots-clé
Arm, Female, Graft Survival, Humans, Male, Middle Aged, Pain Measurement, Patient Satisfaction, Postoperative Complications, Questionnaires, Range of Motion, Articular, Retrospective Studies, Surgical Flaps/blood supply, Treatment Outcome
Pubmed
Web of science
Création de la notice
21/01/2013 18:21
Dernière modification de la notice
03/03/2018 19:26
Données d'usage