Distally based posterior interosseous flap: primary role in soft-tissue reconstruction of the hand
| Autor: | Cenk Sen, Sahin Alagoz, Eda Isil, Murat Onyedi, Hakan Agir |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Additional Surgical Procedure Adolescent medicine.medical_treatment Surgical Flaps Neoplasms medicine Humans Radial nerve Palsy business.industry Soft tissue Hand Injuries Middle Aged Plastic Surgery Procedures Ablation Wrist Injuries Surgery Posterior interosseous flap Plastic surgery Skin grafting Wounds and Injuries business Burns |
| Zdroj: | Annals of plastic surgery. 59(3) |
| ISSN: | 0148-7043 |
| Popis: | A series of 15 consecutive patients with various hand defects requiring flap coverage was reviewed in this study. The defects were all covered with the distally based posterior interosseous flap. Its main indications were in complex hand trauma, severe burn injury, or skin cancer ablation, either acute or postprimary. In 12 of the patients, flaps survived completely. In 3 patients, there was partial necrosis of the distal part of the flap, which did not require additional surgical procedure. Radial nerve palsy was noted in one of the cases, with a complete recovery after 3 months. Donor site was closed directly in up to 4-cm-wide flaps, while larger flaps required skin grafting. No major anatomic variation was observed. Distally based posterior interosseous flap is a reliable choice for various types and areas of hand defects, with very low donor-site morbidity, and should be more commonly considered in clinical practice. |
| Databáze: | OpenAIRE |
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