The Serratus Anterior Osteocutaneous Free Flap

J. C. Bruck; J. Bier; D. Kistler

doi:10.1055/s-2007-1006820

Journal of Reconstructive Microsurgery, Inhaltsverzeichnis

J Reconstr Microsurg 1990; 6(3): 209-213
DOI: 10.1055/s-2007-1006820

ORIGINAL ARTICLE

The Serratus Anterior Osteocutaneous Free Flap

J. C. Bruck, J. Bier, D. Kistler

Department of Plastic Surgery, Berlin Burn Center, Krankenhaus Am Urban, Berlin, Germany, Abteilung fuer Zahn-Mund- und Kiefer-Chirurgie, Rheinisch-Westfaelische Technische Hochschule, und Abteilung fuer Verbrennungs- und Plastische-Wiederherstellungschirurgie, Aachen, Germany

Abstract

ABSTRACT

Microvascular transfer of the rib as an osteocutaneous or osseous free flap based on the thoracic branch of the thoracodorsal artery is described. A review of the literature revealed various patterns of rib vascularization in different areas of the body from the periosteum and the endosteal vessels. Reversing the blood flow in the transcortical vessels of the rib is reported to be possible. Injection studies showed a reliable connection between the thoracic branch of the thoracodorsal artery and the endosteal vessels of the sixth and seventh ribs at the origin of the anterior serratus muscle. This approach to free rib transfer has proved to be quick, easy, and reliable in various clinical applications.

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