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Vascular Anatomy of the Palmar Surfaces of the Distal Radius And Ulna: Its Relevance to Pedicled Bone Grafts at the Distal Palmar Forearm

From the Department of Hand- and Plastic Surgery, Burn Centre, University of Tübingen, Germany and the Institut de la Main and the Laboratoire d’Anatomie Biomédicale des Saints Pères, Université René Descartes, Paris, France

Correspondence: Dr Max Haerle, Department of Hand- and Plastic Surgery, Burn Centre, University of Tubingen, BG Trauma Centre, Schnarrenberg 95, 72076 Tubingen, Germany. Tel.: +49 7071 6061199 or 400962; Fax: +49 7071 6061037; E-mail: maxhaerle{at}t-online.de.

The potential for harvesting vascularized bone grafts from the palmar surface of the distal radius has been studied in 40 arms of fresh cadavers which had previously been injected with coloured latex solution. It was found that vascularized grafts can be pedicled on the radial part of the palmar carpal arterial arch. If a longer pedicle is required, the bone graft can be pedicled on the anterior branch of the anterior interosseous artery with retrograde flow occurring from the palmar carpal arch.

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 2, 131-136 (2003)
DOI: 10.1016/S0266-7681(02)00279-6


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