The posterior interosseous flap: a review of 81 clinical cases and 100 anatomical dissections — assessment of its indications in reconstruction of hand defects

Based on our experience of 100 cadaveric dissections and a series of 81 clinical cases, we have assessed the indications for the posterior interosseous flap in reconstruction of the hand. Large fasciocutaneous island flaps can be harvested, even when the radial or ulnar pedicles are damaged, sacrifi...

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Bibliographic Details
Published in:British journal of plastic surgery 2001, Vol.54 (1), p.28-33
Main Authors: Costa, Horácio, Cunha, Cristina, Conde, António, Gracia, Manoel Luanco, Vranchx, Jan, Soutar, David
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
anatomical dissection
Biological and medical sciences
Child
Female
Follow-Up Studies
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
hand defects
Hand Injuries - diagnostic imaging
Hand Injuries - surgery
Humans
Male
Medical sciences
Middle Aged
Orthopedic surgery
posterior interosseous flap
Radiography
Reconstructive Surgical Procedures - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Wounds, Nonpenetrating - surgery
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Summary:Based on our experience of 100 cadaveric dissections and a series of 81 clinical cases, we have assessed the indications for the posterior interosseous flap in reconstruction of the hand. Large fasciocutaneous island flaps can be harvested, even when the radial or ulnar pedicles are damaged, sacrificing only vessels of secondary importance to the perfusion of the hand. Compound flaps can be dissected based on muscular, musculoperiosteal and fascioperiosteal branches. The primary indications for using this flap are dorsal hand defects up to the metacarpal joints, reconstruction of the first web space up to the interphalangeal joint of the thumb and extensive lesions on the ulnar border of the hand.
ISSN:0007-1226
1465-3087
DOI:10.1054/bjps.2000.3472