Medial Arm Perforator Flap
The medial arm perforator flap had a long-term history of research since the first report by Daniel in 1975. As the vessels in the donor site have a lot of variations, it greatly restricts the popularization of this flap. After performing a further anatomic research on the distribution of medial arm perforators, Mingrui Chen (2001) and Laijin Lu (2007) proposed conclusively that the superior ulnar collateral artery perforator could be the first choice for this flap, and the direct perforator from the inferior ulnar collateral artery or the brachial artery could still be chosed to design and support a flap when the superior ulnar collateral artery perforator is too tiny or does not exist. Pedicled transposition of the distal medial arm perforator flap could be used for repair of trauma over the elbow or proximal forearm, while free transplantation could be applied for repair of trauma over the hand and foot or the cephalofacial area.
- Laijin L, Zhaopeng X, Bin L, et al. Retrograde medial brachial cutaneous perforator island flap: anatomical basis and clinical application. Chin J Hand Surg. 2007;23(4):212–3.Google Scholar
- Mingrui C, Shizhen Z, Dachuan X, et al. Anatomic study and clinical application of medial arm pedicled flap. Chin J Microsurg. 2001;24(4):296–8.Google Scholar