Posterior Interosseous Artery Flap for Hand Reconstruction
I. O Golubev , V. M Grishin , A. A Maksimov , M. V Merkulov , O. M Bushuev , I. A Kutepov , R. V Yulov
N.N. Priorov Journal of Traumatology and Orthopedics ›› 2014, Vol. 21 ›› Issue (1) : 67 -71.
Posterior Interosseous Artery Flap for Hand Reconstruction
Results of hand reconstructions with posterior interosseous artery flap were analyzed for 37 patients (25 males and 12 females) aged from 13 month to 56 years. The reasons for plasty were the following: acute trauma with soft tissue defect - 6 cases, posttraumatic hand and fingers deformity - 18 cases, hand pathology - 5 cases, congenital hand deformities - 8 cases. In 26 patients plasty with posterior interosseous artery flap was performed in combination with other techniques of hand microsurgical reconstruction. At terms up to 3 weeks the flap settled nicely in 35 (94.6%) patients, in 2 patients partial necrosis of the flap was observed. In 1 year after operation all patients and/or their relatives were satisfied with the cosmetic view of hand and donor site on the forearm.
reconstruction / interpolated flap / skin plasty
| [1] |
Родоманова Л.А., Кутянов Д.И. Использование технологий реконструктивно-пластической микрохирургии в системе лечения больных с патологией кистевого сустава. Травматология и ортопедия России. 2011; 4 (62): 30-6. |
| [2] |
Тихилов Р.М., Кочиш А.Ю., Родоманова Л.А., Кутянов Д.И., Афанасьев А.О. Возможности современных методов реконструктивно-пластической хирургии в лечении больных с обширными посттравматическими дефектами тканей конечностей (обзор литературы). Травматология и ортопедия России. 2011; 2 (60): 164-70. |
| [3] |
Родоманова Л.А., Кочиш А.Ю. Реконструктивные микрохирургические операции при травмах конечностей. СПб: РНИИТО; 2012: 35-49. |
| [4] |
Yu H.L., Chase R.A., Strauch B. Atlas of hand anatomy and clinical implications. Mosby; 2004: 56-120. |
| [5] |
Friedrich J.B., Pederson W.C., Bishop A. T., Galaviz P., Chang J. New workhorse flaps in hand reconstruction. Hand. 2012; 7 (1): 45-54. |
| [6] |
Penteado C.V., Masquelet A.C., Chevrel J.P. The anatomic basis of the fasciocutaneous flap of the posterior interosseous artery. Surg. Radiol. Anat. 1986; 8 (4): 209-15. |
| [7] |
Zancolli E.A., Angrigiani C. Posterior interosseous island forearm flap. J. Hand Surg. Br. 1988; 13 (2): 130-5. |
| [8] |
Bayon P., Pho R. Anatomical basis of dorsal forearm flap: Based on posterior interosseous vessels. J. Hand Surg. Br. 1988; 13 (4): 435-9. |
| [9] |
Vögelin E., Langer M., Büchler U. How reliable is the posterior interosseous flap? A review of 88 patients. Eur. J. Plast. Surg. 2002; 24 (7): 333-7. |
| [10] |
Costa H., Soutar D.S. The distally based island posterior interosseous flap. Br. J. Plast. Surg. 1988; 41 (3); 221-7. |
| [11] |
Costa H., Comba S., Martins A., Rodrigues J., Reis J., Amarante J. Further experience with the posterior interosseous flap. Br. J. Plast. Surg. 1991; 44 (6); 449-55. |
| [12] |
Costa H., Smith R., McGrouther D.A. Thumb reconstruction by the posterior interosseous osteocutaneous flap. Br. J. Plast. Surg. 1988; 41 (3): 228-33. |
| [13] |
Costa H., Pinto A., Zenha H. The posterior interosseous flap - a prime technique in hand reconstruction. The experience of 100 anatomical dissections and 102 clinical cases. J. Plast. Reconstr. Aesthet Surg. 2007; 60 (7): 740-7. |
| [14] |
Watanabe S.M., Blanco P.J., Feijóo R. A. Blood flow modeling in a detailed arterial network of the arm. 2012. http://livroaberto.ibict.br/bitstream/1/857/2/ Blood%20Flow%20Modeling%20in%20a%20Detailed%20Arterial%20Network%20of%20the%20Arm.PDF |
| [15] |
Cavadas P.C., Ibańez J., Landin L., Roger I. Use of the reversed posterior interosseous flap in staged reconstruction of mutilating hand injuries before toe transfers. Plast. Reconstr. Surg. 2008; 122 (6): 1823-6. |
| [16] |
Ishiko T., Nakaima N., Suzuki S. Free posterior interosseous artery perforator flap for finger reconstruction. Br. J. Plast. Surg. 2009; 62 (7): e211-e215. |
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