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[Posterior interosseous flap in pediatric hand reconstructions]
Insights
Posterior interosseous flap reconstruction effectively treated hand deformities in children, with high flap survival and patient satisfaction. This microsurgical technique demonstrated excellent esthetic outcomes and minimal complications.
Area of Science:
- Plastic Surgery
- Pediatric Hand Surgery
- Microsurgery
Background:
- Hand deformities, both congenital and acquired, pose significant challenges in pediatric patients.
- Microsurgical reconstruction offers potential solutions for restoring hand function and appearance.
Purpose of the Study:
- To evaluate the efficacy and outcomes of posterior interosseous flap reconstruction in children with various hand deformities.
- To assess flap survival rates, postoperative complications, and patient satisfaction following the procedure.
Main Methods:
- Retrospective study of 10 pediatric patients undergoing posterior interosseous flap reconstruction.
- Preoperative color Doppler assessment of posterior interosseous vessels.
- Combined microsurgical procedures including flap coverage.
Main Results:
- All 10 flaps survived completely within 3 weeks postoperatively.
- No significant complications such as vascular compromise, infection, or nerve palsy were observed.
- 90% of patients/parents reported high satisfaction with esthetic outcomes at 1 year.
Conclusions:
- Posterior interosseous flap reconstruction is a safe and effective method for pediatric hand deformities.
- The procedure yields excellent esthetic results and high patient satisfaction with a low complication rate.
Abstract:
The results of hand reconstructions with posterior interosseous flap were studied in 10 children (4 males and 6 females) aged from 1 year to 13 years old. In 4 cases flap coverage was performed due to acquired posttraumatic hand deformity, in 6 cases reconstruction was assumed for congenital hand deformities. Combined procedures consisted of posterior interosseous flap coverage and other types of microsurgical reconstructions were suggested in all 10 patients. Preoperative color Doppler visualization of the posterior interosseous vessels was mandatory. All flaps were risen under 3.5-4.5X magnification. All flaps survived completely in 3 weeks postoperatively. There were not postoperative complications such as flap's arterial or venous insufficiency, deep infection, or posterior interosseous nerve palsy. Nearly whole group (9 of 10) of patients and/or their parents were satisfied with the esthetic view of the reconstructed hand and donor site of the forearm 1 year postoperatively.
