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[The posterior interosseous flap--review and personal experience]
H Moshammer1, F Schwarzl, F Haas
1Chirurgischen Universitätsklinik der Karl-Franzens-Universität Graz.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|May 21, 1998
Summary
The posterior interosseous flap aids hand soft tissue reconstruction. A modified technique still shows temporary venous congestion, despite claims of improved viability.
Area of Science:
- Plastic Surgery
- Microsurgery
- Orthopedic Surgery
Background:
- The posterior interosseous flap is a reconstructive option for hand soft tissue defects.
- Original techniques faced challenges with pedicle dissection and venous congestion.
- A 1993 modification aimed to improve flap viability by including a constant fasciocutaneous perforating vessel.
Observation:
- The modified posterior interosseous flap elevation technique was applied to twelve patients.
- The study evaluated the experience, indications, and complications associated with this modified flap.
- Postoperative venous congestion was observed in the patients.
Findings:
- The modified flap elevation technique, while simplifying elevation, did not fully resolve venous congestion issues.
- Temporary mild to moderate venous congestion was noted, similar to the original technique.
- The inclusion of a constant fasciocutaneous perforating vessel did not eliminate venous congestion.
Implications:
- Further refinement of the posterior interosseous flap technique may be necessary to overcome venous congestion.
- The flap remains a viable option for hand reconstruction, but its limitations require careful consideration.
- Understanding and managing venous congestion are crucial for successful outcomes in posterior interosseous flap surgery.