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Retrograde posterior interosseous flap.

U Büchler1, H P Frey

  • 1Division of Hand Surgery, Inselspital, University of Bern, Switzerland.

The Journal of Hand Surgery
|March 1, 1991
PubMed
Summary
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The distally based posterior interosseous island flap is a reliable option for soft tissue reconstruction, offering good coverage with minimal donor site morbidity. Partial flap necrosis occurred in 12% of cases, often due to pedicle issues.

Area of Science:

  • Plastic Surgery
  • Orthopedic Surgery
  • Reconstructive Microsurgery

Background:

  • Soft tissue defects in the extremities pose significant reconstructive challenges.
  • Island flaps offer a versatile solution for covering complex wounds.
  • The distally based posterior interosseous flap is a specific type of fasciocutaneous flap used in reconstructive surgery.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the distally based posterior interosseous island flap.
  • To assess the flap's reliability, range of motion, and complication rates in a clinical series.
  • To determine the flap's suitability for various types of soft tissue defects.

Main Methods:

  • Retrospective analysis of 36 consecutive distally based posterior interosseous island flap procedures.

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  • Inclusion criteria: patients with acute complex injuries, subacute soft tissue defects, chronic ulcers, or contractures.
  • Data collection included flap size, arc of rotation, coverage achieved, and complications.

    • Main Results:

    • Successful flap dissection in 94% of cases; 34 patients underwent reconstruction.
    • Flap sizes ranged from 1.5x4 cm to 9x11 cm, with an arc of rotation up to 19 cm.
    • Partial flap necrosis occurred in 7 flaps (12%), requiring further intervention in 4 cases; causes related to pedicle issues.

    Conclusions:

    • The distally based posterior interosseous island flap is a viable reconstructive option with a low complication rate.
    • The flap provides adequate coverage and good aesthetic match for various extremity defects.
    • Minimal donor site morbidity and good functional adaptation are key advantages.