Lateral Arm Flap Usage as Pedicle and Free Flap

NCT03763383 | Completed

• 1 other identifier: lateral arm
• Study Type: observational
• Target: 21
• Locations: 1 country
• Sites: 1

Brief Summary

Abstract Introduction For local reconstruction on upper extremity or as a distant micro vascular flap Lateral arm free flap is an excellent source of tissue with the advantages including short operation time, thin pliable tissue, non-dominant vessel and minimal donor site morbidity, it fulfills the goal of an optimal reconstruction of form, function, and aesthetics .Here the investigator share his experience of lateral arm fasciocutaneous flap, investigator found it effective in covering defects secondary to trauma, malignancy and burns. Methods A retrospective data analysis was done to analyze our usage of lateral arm flap. This included patient's age, sex, primary problem, area involved, size of the flap and outcome of the flap 3 weeks post operatively. For free flaps this also included the recipient artery used for anastomosis and the number of veins anastomosed. Results There were 21 flaps done over a period of five years. This included 11 free flaps and 10 pedicle flaps. Average size of free flap was 12x5 cm and that of pedicle flap was 8x5 cm. In the free flap group, there was failure in 2 flaps both of which were due to arterial anastomoses in zone of injury. In the pedicle flap group however, there were no failures. Conclusion Lateral arm flap is a reliable flap with consistent anatomy that can be used for coverage in different parts of the body.

Conditions

Flap Necrosis

Outcome Measures

Primary Outcomes (1)

• Flap survival/necrosis

  was assessed by clinical examination noticing color and bleeding by needle prick

  3 weeks

Study Arms (2)

Free lateral arm flap

included patients who had free lateral Arm flap

Procedure: Lateral Arm Flap

pedicled lateral arm flap

included patients who had pedicled lateral arm flap

Procedure: Lateral Arm Flap

Interventions

Lateral Arm Flap PROCEDURE

Its a kind of flap that is harvested from the lateral aspect of the arm to cover defects in different parts of the body

Free lateral arm flap; pedicled lateral arm flap

Eligibility Criteria

• Age: 5 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Primary care clinic

You may qualify if:

• patients who underwent free Lateral Arm Flap
• Patients who underwent pedicled Lateral arm flap -

Sponsors & Collaborators

• Aga Khan University: lead

Study Sites (1)

Aga Khan University Hospital

Karachi, Sindh, 74600, Pakistan

Location

Related Publications (13)

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  PMID: 8336957 BACKGROUND

• Agha RA, Fowler AJ, Rajmohan S, Barai I, Orgill DP; PROCESS Group. Preferred reporting of case series in surgery; the PROCESS guidelines. Int J Surg. 2016 Dec;36(Pt A):319-323. doi: 10.1016/j.ijsu.2016.10.025. Epub 2016 Oct 19.

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  PMID: 9524002 BACKGROUND

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  PMID: 1588201 BACKGROUND

• Depner C, Erba P, Rieger UM, Iten F, Schaefer DJ, Haug M. Donor-site morbidity of the sensate extended lateral arm flap. J Reconstr Microsurg. 2012 Feb;28(2):133-8. doi: 10.1055/s-0031-1289165. Epub 2011 Sep 29.

  PMID: 21959550 BACKGROUND

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Sami Ullah (principal investigator)

Study Record Dates

• First Submitted: November 16, 2018
• First Posted: December 4, 2018
• Study Start: January 1, 2012
• Primary Completion: December 31, 2016
• Study Completion: December 31, 2016
• Last Updated: December 4, 2018

Record last verified: 2018-12

Locations

PA (1)