Figure 48.1 Sural flap. Open full size image Introduction “It is not uncommon to find split skin grafts applied to an ulcer bed as the sole method of treatment. This can be successful, but failure is a common end result…
Figure 47.1 Radial forearm flap. Open full size image Introduction Drs. Yang and Gao of the Shenyang Military Hospital initially introduced the radial forearm flap, often called the “Chinese flap.” Cadaveric studies performed in 1978 identified this flap and subsequent…
Figure 46.1 Lateral arm flap. Open full size image Introduction The lateral arm flap (LAF) is a reliable septofasciocutaneous flap for local and free tissue transfer. Song et al. in 1982, Cormack and Lamberty in 1983, and Katsaros et al. in 1984…
Introduction This chapter covers a selection of pedicled flaps commonly used for soft tissue coverage of the hand. Several are based on primary vessel pedicles (Moberg flap, posterior interosseous artery flap, and homodigital island flaps), whereas others are based on…
Introduction The gluteus maximus (GM) flap was initially described as a turnover muscle flap for sacral coverage, in 1974. During the following years, musculocutaneous GM flaps became the gold standard in the treatment of pressure ulcers because of their ability…
Figure 43.1 Groin flap and superficial circumflex iliac artery perforator flap. Open full size image Introduction The groin flap, nourished by the superficial circumflex iliac artery (SCIA), is historically important because it was the first successful free flap. With its…
Figure 42.1 Iliac flap. Open full size image Introduction The iliac crest provides a good source of bone and is universally accepted as a donor site for non-vascularized grafts. Its role as a vascularized graft for head and neck reconstruction…
Figure 41.1 Latissimus dorsi flap. Open full size image Introduction The latissimus dorsi flap was introduced by Tansini in 1906 for the coverage of extensive mastectomy defects. Subsequently forgotten, it was re-described by Olivari in 1976 for the coverage of…
Introduction The skin and subcutaneous tissue of the back may be harvested as a flap supplied by the cutaneous or superficial branch of the circumflex scapular artery, originally named by Manchot. This branch is termed the “superficial circumflex scapular artery.”…
Figure 39.1 Trapezius flap. Open full size image Introduction The trapezius muscle, with its unique triangular shape and great length, extends from the occiput down to the 12th thoracic vertebra and consists of descending, transverse, and ascending parts; its complexity…