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Colgajo Inverso de la Arteria Interósea Posterior: Indicaciones, Técnica y Complicaciones en 18 Casos Consecutivos
Alvaro Baik Cho1, Antonio Isidoro de Sousa Neto1, Kríssia Caroline Soares Franco1
1Grupo de Cirurgia da Mão e Microcirurgia Reconstrutiva, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil.
Revista brasileira de ortopedia
|December 12, 2025
Resumen
El colgajo inverso de la arteria interósea posterior demuestra una tasa de éxito del 94,45 % para defectos de tejidos blandos en las extremidades superiores. Este colgajo es una opción reconstructiva segura y eficaz, especialmente para la mano y el pulgar.
Área de la Ciencia:
- Cirugía Ortopédica; Cirugía Plástica; Microcirugía
Sus antecedentes:
- Los defectos de tejidos blandos en la extremidad superior distal presentan desafíos reconstructivos.; El colgajo de la arteria interósea posterior es una solución potencial para estos defectos.
Objetivo del estudio:
- Evaluar la tasa de éxito del colgajo inverso de la arteria interósea posterior.; Evaluar su predictibilidad, fiabilidad y seguridad en la reconstrucción de defectos distales de las extremidades superiores.
Principales métodos:
- Estudio observacional retrospectivo de 18 pacientes.; Análisis del tamaño del colgajo, área receptora, necesidad de injertos, resultados clínicos y complicaciones.
Principales resultados:
- Se logró una tasa de éxito del colgajo del 94,45 %, con una pérdida total y una parcial.; El 55,5 % de los casos requirieron injertos adicionales; cuatro casos necesitaron injertos de piel para la granulación.; El colgajo fue eficaz para la cobertura del pulgar y la primera comisura, crucial para la función de la mano.
Conclusiones:
- El colgajo inverso de la arteria interósea posterior es una opción reconstructiva segura y eficaz para defectos distales de las extremidades superiores.; Ofrece baja morbilidad y buenos resultados funcionales y estéticos, especialmente para la cobertura de la mano y el pulgar.
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