Posterior Interosseous Artery Flap for Hand Reconstruction



Cite item

Full Text

Abstract

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.

About the authors

I. O Golubev

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov

V. M Grishin

Peoples’ Friendship University of Russia, Moscow, RF

Email: vmgrishin@yandex.ru

A. A Maksimov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov

M. V Merkulov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov

O. M Bushuev

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov

I. A Kutepov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov

R. V Yulov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov

References

  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.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2014 Eco-Vector


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-76249 от 19.07.2019.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies