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Related Experiment Videos

Posterior interosseous reverse forearm flap: experience with 80 consecutive cases

C Angrigiani1, D Grilli, D Dominikow

  • 1Hospital de Quemados de Buenos Aires, Argentina.

Plastic and Reconstructive Surgery
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

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The posterior interosseous reverse forearm flap

Area of Science:

  • Anatomy
  • Vascular Surgery
  • Microsurgery

Background:

  • The posterior interosseous reverse forearm flap is a common reconstructive technique.
  • Its vascular supply and anatomical basis require precise understanding for successful application.

Observation:

  • A choke anastomosis exists between the anterior and posterior interosseous arteries in the forearm.
  • Direct flow from the anterior interosseous artery irrigates the distal posterior forearm.
  • The proximal third of the posterior forearm is not supplied via this choke anastomosis.

Findings:

  • The posterior interosseous reverse forearm flap's blood flow is not reversed as commonly assumed.
  • The flap's vascular supply originates primarily from the anterior interosseous artery's recurrent branch.

Related Experiment Videos

  • The venous drainage is of an oscillating type, connecting to the deep system via perforators.

    • Implications:

    • The flap's name may be reconsidered to reflect its direct arterial supply.
    • This anatomical understanding can optimize flap design and improve surgical outcomes.
    • Accurate anatomical knowledge is crucial for reconstructive surgery planning.