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Deepithelized posterior interosseous artery flap for 3-dimensional defect coverage in the hand
Tolga Türker1, Jorge P Gonzalez, Nicole Capdarest-Arest
1*Department of Orthopaedic Surgery †University of Arizona, Tucson, AZ ‡Lane Medical Library, Stanford University, Stanford, CA.
Techniques in Hand & Upper Extremity Surgery
|March 19, 2015
Summary
The deepithelized posterior interosseous artery (PIA) flap offers a simple, effective method for 3D hand defect coverage. This technique minimizes donor site morbidity and provides excellent functional and cosmetic outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Hand Surgery
Background:
- The posterior interosseous artery (PIA) flap is a versatile pedicle flap used for reconstructive purposes.
- Its application in covering exposed structures and treating defects has been previously documented with minimal complications.
Observation:
- This study details a modified technique utilizing a deepithelized PIA flap to fill 3-dimensional cavities in the hand.
- The surgical method was applied to a patient case, demonstrating successful reconstruction.
Findings:
- The modified deepithelized PIA flap technique resulted in good functional outcomes and range of motion.
- No significant complications were observed in the patient treated with this method.
- The flap provided excellent cosmetic results, particularly for dorsal hand defects.
Implications:
- The deepithelized PIA flap is a valuable addition to surgical options for complex 3D hand defects.
- This technique offers advantages including technical simplicity, low donor site morbidity, and preservation of major vessels.
- It presents a reliable option for improving both function and aesthetics in hand reconstruction.
