Thin Profunda Artery Perforator Flap for Hand and Upper Extremity Coverage

Isaac Smith; Ramin Shekouhi; Markos Mardourian; Harvey Chim

doi:10.1016/j.hcl.2023.10.002

Thin Profunda Artery Perforator Flap for Hand and Upper Extremity Coverage

Hand Clin. 2024 May;40(2):189-198. doi: 10.1016/j.hcl.2023.10.002. Epub 2023 Nov 10.

Authors

Isaac Smith¹, Ramin Shekouhi¹, Markos Mardourian¹, Harvey Chim²

Affiliations

¹ Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, FL, USA.
² Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: harveychim@yahoo.com.

PMID: 38553090
DOI: 10.1016/j.hcl.2023.10.002

Abstract

The profunda artery perforator (PAP) flap provides a good option for hand and upper extremity reconstruction. The reliable quality, caliber, and number of perforators in the posteromedial thigh support large flaps with long pedicles. The PAP flap has been widely used for breast reconstruction, although its use in the extremities has been slower to catch on due to the bulk and thickness of the subcutaneous tissue. The authors discuss evolution of thin flaps and our application of the thin and superthin PAP flap for upper extremity reconstruction.

Keywords: Free flap; Hand; PAP flap; Profunda artery perforator flap,; Soft tissue coverage; Thin PAP flap; Upper extremity.

Publication types

Review

MeSH terms

Arteries / surgery
Hand / surgery
Humans
Mammaplasty*
Perforator Flap* / blood supply
Retrospective Studies
Upper Extremity / surgery