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Reversed anterior interosseous flap.

O Koray Coskunfirat1, Omer Ozkan

  • 1Department of Plastic and Reconstructive Surgery, Akdeniz University School of Medicine, Dumlupinar Bulvari, Kampus, 07059 Antalya, Turkey. coskunfirat@superonline.com

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 23, 2006
PubMed
Summary

The reversed anterior interosseous flap offers a valuable option for hand reconstruction, proving effective for soft tissue defects. This method preserves key upper limb arteries, ensuring successful healing with no observed complications.

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Microsurgery

Background:

  • Forearm flaps are established for hand coverage, each with unique benefits and drawbacks.
  • The reversed anterior interosseous flap presents specific advantages for complex hand reconstructions.

Observation:

  • A study evaluated the reversed anterior interosseous flap in five male patients (36-59 years) between January 2002 and July 2003.
  • Defects treated included the first web space, dorsal thumb, first metacarpal bone, and volar wrist.
  • Flap dimensions ranged from 6x3 cm to 11x7 cm.

Findings:

  • All five flaps healed successfully without postoperative complications.
  • Key advantages include preservation of major upper limb arteries, favorable texture/color match, adequate rotation, and composite/fascial flap options.

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  • Disadvantages involve a noticeable donor site scar and the requirement for meticulous surgical technique.

    • Implications:

    • The reversed anterior interosseous flap is highly effective for reconstructing small to moderate soft tissue defects in the hand.
    • Its use supports limb salvage and functional restoration in hand surgery.
    • Further research could explore optimizing donor site aesthetics and refining surgical techniques.