Medial Arm Perforator Flap

  • He-Ping ZhengEmail author
  • Yong-Qing Xu
  • Jian Lin
  • De-Qing Hu


The medial arm perforator flap had a long-term history of research since the first report by Daniel in 1975. As the vessels in the donor site have a lot of variations, it greatly restricts the popularization of this flap. After performing a further anatomic research on the distribution of medial arm perforators, Mingrui Chen (2001) and Laijin Lu (2007) proposed conclusively that the superior ulnar collateral artery perforator could be the first choice for this flap, and the direct perforator from the inferior ulnar collateral artery or the brachial artery could still be chosed to design and support a flap when the superior ulnar collateral artery perforator is too tiny or does not exist. Pedicled transposition of the distal medial arm perforator flap could be used for repair of trauma over the elbow or proximal forearm, while free transplantation could be applied for repair of trauma over the hand and foot or the cephalofacial area.


  1. Daniel RK, Cunningham DM, Taylor GI. The deltopectoral flap: an anatomical and hemodynamic approach. Plast Reconstr Surg. 1975;55(3):275–82.CrossRefGoogle Scholar
  2. Laijin L, Zhaopeng X, Bin L, et al. Retrograde medial brachial cutaneous perforator island flap: anatomical basis and clinical application. Chin J Hand Surg. 2007;23(4):212–3.Google Scholar
  3. Mingrui C, Shizhen Z, Dachuan X, et al. Anatomic study and clinical application of medial arm pedicled flap. Chin J Microsurg. 2001;24(4):296–8.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. and People's Medical Publishing House 2019

Authors and Affiliations

  • He-Ping Zheng
    • 1
    Email author
  • Yong-Qing Xu
    • 2
  • Jian Lin
    • 3
  • De-Qing Hu
    • 4
  1. 1.The 900th Hospital of PLAClinical Anatomic CenterFuzhouChina
  2. 2.Orthopaedic DepartmentKunming General Hospital of PLAKunmingChina
  3. 3.Shanghai JiaoTong UniversityXin-hua Hospital (ChongMing)ShanghaiChina
  4. 4.Orthopaedic DepartmentThe First Affiliated Hospital of Fujian Medical UniversityFuzhouChina

Personalised recommendations