Evolution and Diversity of Medial Sural Artery Perforator Flap for Hand Reconstruction.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 38553092.
- Also identified by DOI 10.1016/j.hcl.2023.08.008.
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Abstract
The free medial sural artery perforator (MSAP) flap is a recently popularized flap. It has evolved from a composite myocutaneous flap to a pedicled perforator flap for lower limb reconstruction. It is also a versatile free perforator flap for extremity and head and neck reconstruction. The diversity of the flap designs with options for harvest of non-vascularized grafts enhances the versatility for hand and upper limb reconstruction. The adjunctive use of endoscopy and indocyanine green fluorescence imaging studies can assist and demystify the flap anatomy. The authors present their experience using free MSAP flaps for complex mutilated hand and upper extremity reconstruction.
Medical subject headings
- Perforator Flap
- Plastic Surgery Procedures
Anatomy
- hand