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Reverse posterior interosseous flap: different approaches over the years - A systematic review
Alfio Luca Costa1, Michele Rosario Colonna2, Vincenzo Vindigni1
1Clinic of Plastic Surgery, Padova University Hospital, Via Giustiniani 2,35128, Padova, Italy.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|September 30, 2022
Summary
The posterior interosseous flap (PIOF) offers versatile upper limb reconstruction without microsurgery. This review organizes technical updates to expand PIOF use and minimize complications.
Area of Science:
- Orthopedics
- Plastic Surgery
- Reconstructive Surgery
Background:
- The posterior interosseous flap (PIOF) is a fasciocutaneous flap for upper limb reconstruction.
- It can cover dorsal hand defects up to the proximal interphalangeal (PIP) joint without microsurgery.
Approach:
- Systematic literature review of technical updates for the PIOF.
- Focus on extending indications and reducing complications.
Key Points:
- PIOF offers large dimensions (up to 22 cm x 12 cm) and versatility.
- Can incorporate vascularized bone and tendon grafts for complex defects.
- Original dissection technique can be complex, with reported venous congestion.
Conclusions:
- Experienced surgeons achieve negligible complication rates with PIOF.
- Technical refinements enhance PIOF's utility in reconstructive surgery.
- This review provides a valuable resource for optimizing PIOF application.
