scholarly journals Posterior Interosseous Artery Flap for Hand Reconstruction

2014 ◽  
Vol 21 (1) ◽  
pp. 67-71
Author(s):  
I. O Golubev ◽  
V. M Grishin ◽  
A. A Maksimov ◽  
M. V Merkulov ◽  
O. M Bushuev ◽  
...  
Keyword(s):  
Donor Site ◽  
Soft Tissue Defect ◽  
Microsurgical Reconstruction ◽  
Acute Trauma ◽  
Posterior Interosseous Artery ◽  
Partial Necrosis ◽  
Hand Deformities ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap ◽  
Congenital Hand Deformities

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.

scholarly journals Posterior Interosseous Artery Flap for Hand Reconstruction

2014 ◽  
pp. 67-71
Author(s):  
I. O. Golubev ◽  
V. M. Grishin ◽  
A. A. Maksimov ◽  
M. V. Merkulov ◽  
O. M. Bushuev ◽  
...  
Keyword(s):  
Donor Site ◽  
Soft Tissue Defect ◽  
Microsurgical Reconstruction ◽  
Acute Trauma ◽  
Posterior Interosseous Artery ◽  
Partial Necrosis ◽  
Hand Deformities ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap ◽  
Congenital Hand Deformities

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.

Versatility of the Posterior Interosseous Artery Flap: Emphasis on Powering Up the Toe Transfer

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
GiJun Lee ◽  
BumSik Kim ◽  
Neunghan Jeon ◽  
JungSoo Yoon ◽  
Ki Yong Hong ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Upper Extremity ◽  
Reverse Flow ◽  
Donor Site ◽  
Congenital Defects ◽  
Soft Tissue Coverage ◽  
Posterior Interosseous Artery ◽  
Arterial Inflow ◽  
Pedicle Length ◽  
Interosseous Artery

Background: Reverse-flow posterior interosseous artery (rPIA) flap is an excellent tool for restoration of defects in the hand and upper extremity, sparing the main arteries to the hand. Its reliability has been well established. Materials and Methods: Fifty-one cases of rPIA flap involving 49 patients were retrospectively reviewed. The inclusion criteria were age, sex, etiology, size and location of the defect, flap size, number of perforators included, pedicle length, flap inset, donor site coverage, complications, and ancillary procedures. Results: This study included 44 men and 5 women, ranging in age between 10 and 73 years. The subjects had soft tissue defects of the hand and upper extremity mainly due to traumatic injuries, including scar contractures of the first web space in 18 cases, thumb amputations in 6 cases, and congenital defects in 1 case. Among the 51 rPIA flap elevations, 3 cases involved flap failure due to the absence of proper pedicle. A fasciocutaneous pattern was observed in 45 cases and a myocutaneous pattern in 3 cases. In 5 cases of unplantable thumb amputations, the rPIA flap was performed for arterial inflow to the secondary toe-to-thumb transfer. Venous congestion of varying degrees was noted in 7 cases involving partial necrosis in 2 cases. During the mean 17 months of follow-up, patients were generally satisfied with the final outcomes. Conclusion: The rPIA flap can be used not only for soft tissue coverage of the hand and upper extremity but also as a recipient arterial pedicle for a secondary toe-to thumb transfer.

scholarly journals The Number of Perforators Included in Reversed Flow Posterior Interosseous Artery Flap

2016 ◽  
Vol 4 (12) ◽  
pp. e1162 ◽  
Author(s):  
Khaled A. Reyad ◽  
Ayman A. Shaker ◽  
Amir S. Elbarbary ◽  
Mohamed A. Sayed ◽  
Mohamed A. Elghareeb
Keyword(s):  
Reversed Flow ◽  
Posterior Interosseous Artery ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap

Anterior Transposition of the Posterior Interosseous Artery Flap through the Interosseous Membrane

1997 ◽  
Vol 22 (1) ◽  
pp. 32-33 ◽  
Author(s):  
A. GUPTA ◽  
A. WANG ◽  
W. BAYLIS ◽  
W. BREIDENBACH
Keyword(s):  
Interosseous Membrane ◽  
Vascular Pedicle ◽  
Posterior Interosseous Artery ◽  
Anterior Transposition ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap

A posterior interosseous artery flap was used to cover a large palmar defect after passing it through the interosseous membrane to avoid tension on the vascular pedicle.

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