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Related Experiment Video

Updated: Jun 9, 2026

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model
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Clinical experience with free anterior interosseous flaps.

O Koray Coskunfirat1, Omer Ozkan, Asim Uslu

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

Annals of Plastic Surgery
|August 25, 2010
PubMed
Summary

The free anterior interosseous flap is a viable option for reconstructive microsurgery, particularly for thin tissue needs in hand and head/neck defects. Despite a technically demanding dissection, it offers advantages like preserved major arteries and versatile composite options.

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Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • The forearm is a versatile flap donor site, but anterior interosseous flaps are underutilized.
  • Investigating the feasibility of the free anterior interosseous flap is crucial for expanding reconstructive options.

Purpose of the Study:

  • To evaluate the clinical feasibility and outcomes of using free anterior interosseous flaps for reconstruction.
  • To assess the suitability of this flap for specific defect types, particularly when thin tissue is required.

Main Methods:

  • A retrospective review of 10 consecutive cases using free anterior interosseous flaps between January 2002 and January 2006.
  • Flaps were utilized for defects in the hand, fingers, head, and neck, prioritizing cases needing thin tissue coverage.

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Last Updated: Jun 9, 2026

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Main Results:

  • Overall flap survival was high (90%), with one case experiencing partial marginal necrosis that healed secondarily.
  • Donor site closure often required skin grafting, with only 2 direct closures possible.
  • The flap proved effective for both hand/finger (5 cases) and head/neck (5 cases) reconstructions.

Conclusions:

  • The free anterior interosseous flap is a valuable alternative for microsurgeons needing thin flaps for hand and head/neck reconstruction.
  • Advantages include flap thinness, preservation of major arteries, adequate pedicle length/caliber, and composite tissue availability.
  • Disadvantages involve a noticeable donor site scar and a technically demanding dissection process.