flaps for ortho

Question 1

Radial forearm flap: arterial supply, nerve?

Answer 1

radial a and musculocutaneous branches via BR

LABC or MABC

Question 2

what can you cover with the radial forearm flap?

list sites for both as free flap and pedicled flap

Answer 2

Pedicled: hand, wrist, forearm, elbow

free: head/neck, UE, LE, plantar fit neurosensory, esophagus, penis

Question 3

lateral arm flap: arterial supply? nerve?

Answer 3

artery: posterior br of radial collateral a

posterior cutaneous n of arm (branch of radial n)

Question 4

what can you cover with the lateral arm flap?

both pedicled and free

Answer 4

pedicled: shoulder, axilla, elbow
free: head/neck

Question 5

medial gastroc flap: arterial supply? nerve supply?

Answer 5

medial sural artery (branch of popliteal a)

motor n: tibial n

sensory n: saphenous (medial), sural (lateral)

Question 6

what can you cover with medial gastroc flap?

Answer 6

proximal 1/3 tibia

anterior knee

distal 1/3 posterior thigh

popliteal fossa

Question 7

rectus femoris flap: dominant arterial supply and nerve?

Answer 7

artery: descending lateral circumflex femoral a
nerve: femoral n (motor), anterior fem cutaneous n (sensory)

Question 8

what can you cover with rectus femoris flap?

Answer 8

inferior abdomen, groin, pubic/perineal region

Question 9

gracillis flap: major arterial supply and nerve?

Answer 9

medial femoral circumflex a

anterior obturator n

Question 10

coverage of gracillis flap?

Answer 10

pedicled: perineal region, complex pelvic injuries

free flap: extremities and head/neck

Question 11

midshaft tibia defect. What flap can you use to cover it?

Answer 11

soleus flap

Question 12

Name & Describe the vascular classification for muscle flaps

Answer 12

Mathes & Nahai

Type 1: 1 vacular pedicle (Tensor Fascia Latae)

Type 2: 1 dominant + minor pedicle (Gracilis)

Type 3: 2 dominant pedicles (G.max)

Type 4: Segmental (Sartorius)

Type 5: 1 dominant & secondary segmental pedicles (latissimus dorsi)