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[Anterior interosseous flap]

W Hu1, D Martin, G Foucher

  • 1Service de Chirurgie Plastique et Reconstructrice, Hôpital Pellegrin-Tondu, Bordeaux.

Annales De Chirurgie Plastique Et Esthetique
|June 1, 1994
PubMed
Summary
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A new anterior interosseous flap, based on the superior perforating branch of the anterior interosseous artery, has been described. This anatomical study details its vascular supply and potential for reconstructive surgery.

Area of Science:

  • Anatomy
  • Vascular Surgery
  • Microsurgery

Background:

  • The anterior interosseous artery is crucial for forearm vascularization.
  • Understanding its perforating branches is key for reconstructive procedures.

Observation:

  • A novel flap, the anterior interosseous flap, is based on the superior perforating branch of the anterior interosseous artery.
  • This branch perforates the interosseous membrane and supplies skin and muscle in the distal forearm.

Findings:

  • The superior perforating branch has a calibre of 0.9-1.5 mm and provides septocutaneous and osseous branches.
  • The flap can be utilized as an island flap with retrograde or direct flow, or as a free flap.
  • The inferior perforating branch anastomoses with the posterior interosseous artery and contributes to wrist vascularity.

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Implications:

  • This flap offers a new option for reconstructive surgery in the hand and forearm.
  • Its vascular pedicle allows for significant reach, potentially to the DIP joint.
  • Further research can explore its clinical applications in various surgical scenarios.