Reverse posterior interosseous flap in childhood: a reliable alternative for complex hand defects

Area of Science:

• Plastic Surgery
• Pediatric Hand Surgery
• Microsurgery

Background:

• Complex hand defects in children present significant reconstructive challenges.
• Limited treatment options exist for pediatric hand reconstruction.
• The reverse posterior interosseous flap has shown success in adult patients.

Purpose of the Study:

• To evaluate the utility and versatility of the reverse posterior interosseous flap in pediatric hand reconstruction.
• To simplify the flap harvest technique for the pediatric population.
• To assess the safety and efficacy of this flap in children.

Main Methods:

• Ten pediatric patients with complex hand defects underwent reconstruction using the reverse posterior interosseous flap.
• Both fasciocutaneous and osteofasciocutaneous flaps were utilized.
• Surgical outcomes and bone union times were recorded.

Main Results:

• All ten flaps survived completely, demonstrating successful tissue integration.
• The average time to bone union was 3 months.
• Flap dissection was not hindered by vessel diameter, and harvest was rapid.

Conclusions:

• The reverse posterior interosseous flap is a safe and versatile option for reconstructing complex hand defects in children.
• The technique is easily and rapidly performed, with short operation times.
• This flap offers a reliable solution for pediatric upper limb coverage.