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Related Experiment Videos

The posterior interosseous reverse flap: experience with 113 flaps.

F Brunelli1, P Valenti, C Dumontier

  • 1Institut de la Main, Université René Descartes, Paris, France.

Annals of Plastic Surgery
|January 5, 2002
PubMed
Summary
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The posterior interosseous flap is a reliable option for hand resurfacing after trauma or burns, offering a high success rate and minimal donor site issues. This surgical technique provides effective coverage for complex hand injuries.

Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Microsurgery

Background:

  • Complex hand injuries and burns often require extensive tissue coverage.
  • Traditional methods may have limitations in achieving optimal functional and aesthetic outcomes.
  • The posterior interosseous flap has emerged as a potential solution for challenging hand reconstructions.

Purpose of the Study:

  • To evaluate the efficacy and safety of the posterior interosseous flap for resurfacing in hand injuries.
  • To assess flap survival rates, complications, and donor site morbidity.
  • To determine the long-term functional recovery and aesthetic results.

Main Methods:

  • A retrospective review of 113 patients undergoing posterior interosseous flap reconstruction for hand injuries over 13 years.

Related Experiment Videos

  • Indications included complex trauma and burn injuries with significant skin loss.
  • Data collected on flap survival, complications, donor site healing, and functional outcomes.
  • Main Results:

    • High flap survival rate (98%).
    • Minor superficial necrosis in 12 patients, with no further intervention needed.
    • Three flaps were lost, requiring alternative coverage.
    • Transient motor branch paralysis in 6 patients, with complete recovery within 6 months.
    • Minimal donor site morbidity, with direct closure for smaller flaps and skin grafting for larger ones.
    • Two cases encountered anatomical variations precluding flap use.

    Conclusions:

    • The posterior interosseous flap is a dependable method for resurfacing diverse hand injuries, including complex trauma and burns.
    • The flap demonstrates a high success rate with manageable complications and minimal donor site morbidity.
    • This technique facilitates good functional recovery and acceptable aesthetic results in hand reconstruction.