[Study on the application of arm medial fascio-cutaneous flap pedicled with cutaneous nerve and nutrient vessel].

OBJECTIVE

To investigate the application of arm medial fascio-cutaneous flap pedicled with cutaneous nerve and nutrient vessel.

METHODS

From February 1999 to December 2004, 18 cases of skin and soft tissue defect in axillary region, elbow and forearm were treated with arm medial fascio-cutaneous flap pedicled with cutaneous nerve and nutrient vessel. Arm medial fascio-cutaneous flap was directly transferred in 3 cases, adversely transferred in 15 cases. The flap area was 4.5 cm x 8.5 cm.

RESULTS

Vein circulation crisis was observed in 3 cases. Of the 3 cases, 1 was necrosis and the other 2 by decompressing small vein were saved. The rest 15 cases survived. The period of follow-up was 3 to 30 months. Flap was satisfactory in appearance and function.

CONCLUSION

Arm medial fasciocutaneous flap pedicled with cutaneous nerve and nutrient vessels can be directly or adversely transferred to repair adjacent soft tissue defect.