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The posterior interosseous flap.

A C Masquelet1, C V Penteado

  • 1Service de Chirurgie Orthopédique et Réparatrice de l'enfant, Hôpital Trousseau, Paris.

Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
|January 1, 1987
PubMed
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A new posterior interosseous flap was developed for forearm reconstruction. Anatomical dissections and clinical cases show its versatility for covering soft tissue defects in the elbow, wrist, and hand.

Area of Science:

  • Plastic Surgery
  • Anatomy
  • Reconstructive Surgery

Background:

  • Soft tissue defects in the elbow, wrist, and hand present reconstructive challenges.
  • The posterior interosseous artery is a key vessel in the forearm's vascular supply.

Purpose of the Study:

  • To describe a new fasciocutaneous flap based on the posterior interosseous artery.
  • To evaluate the anatomical feasibility and clinical utility of the posterior interosseous flap.

Main Methods:

  • Seventy fresh forearm dissections were performed to map the posterior interosseous artery and its cutaneous branches.
  • Eight clinical cases utilized the flap for soft tissue reconstruction.

Main Results:

  • The posterior interosseous flap is supplied by the posterior interosseous artery via multiple cutaneous branches.

Related Experiment Videos

  • The flap can be designed as a proximally or distally based pedicled flap.
  • Successful reconstruction of soft tissue defects in the elbow, wrist, and hand was achieved in eight patients.

    • Conclusions:

    • The posterior interosseous flap is a versatile and reliable option for soft tissue reconstruction in the upper extremity.
    • Its anatomical basis allows for flexible application in various defect locations.
    • This flap represents a valuable addition to the reconstructive surgeon's armamentarium.