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Retrograde posterior interosseous flap.

Vishal Mago1

  • 1Department of Plastic and Reconstructive Surgery, Uttaranchal Forest Hospital Trust Medical College, Dr. STM Forest Hospital, Haldwani, India.

The Iowa Orthopaedic Journal
|October 3, 2007
PubMed
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The posterior interosseous forearm flap is a viable option for hand reconstruction, offering good aesthetic results and minimal donor site morbidity. This study highlights its clinical applications in closing dorsal hand defects.

Area of Science:

  • Plastic Surgery
  • Orthopedic Surgery
  • Microsurgery

Background:

  • Hand reconstruction often requires versatile flaps for defect closure.
  • The posterior interosseous forearm flap offers a potential solution for dorsal hand defects.

Purpose of the Study:

  • To evaluate the clinical applications and outcomes of the distally based posterior interosseous island flap in hand reconstruction.
  • To assess flap survival rates, aesthetic match, and donor site morbidity.

Main Methods:

  • A series of 20 patients underwent reconstruction of dorsal hand defects using a distally based posterior interosseous island flap.
  • Outcomes including flap survival, necrosis, aesthetic match, and donor site morbidity were recorded.

Main Results:

Related Experiment Videos

  • Complete flap survival was observed in 16 out of 20 patients (80%).
  • Partial necrosis occurred in one flap, and total flap loss in two patients (20%).
  • Flaps demonstrated excellent color and texture match with the recipient site, and donor site morbidity was minimal.

Conclusions:

  • The distally based posterior interosseous island flap is a reliable and effective option for reconstructing dorsal hand defects.
  • The flap provides good aesthetic outcomes and has a low complication rate, making it a valuable tool in hand surgery.