Techniques to enable identification and safe elevation of the posterior interosseous artery flap

Abstract

The distally-based, pedicled posterior interosseous artery (PIA) flap can be a useful option for reconstruction of dorsal hand defects, particularly following trauma. 1 Zancolli EA Angrigiani C Posterior interosseous island forearm flap. J Hand Surg. 1988; 13B: 130-135 Crossref Scopus (198) Google Scholar , 2 Penteado CV Masquelet AC Chevrel JP The anatomic basis of the fasciocutaneous flap of the posterior interosseous artery. Surg Radiol Anat. 1986; 8: 209-215 Crossref PubMed Scopus (144) Google Scholar The flap is generally thin and pliable and avoids sacrificing a major vessel supplying the hand. It can be raised as a skin flap, adipofascial variant, or the super-thin fascia-only type. The distally based posterior interosseous artery flap should be called the 5, 6 distal inter-compartmental septal artery flapJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 72Issue 6PreviewRe: Techniques to enable identification and safe elevation of the posterior interosseous artery flap. Nikkah D, Pickford M. JPRAS 2018 1821–22. Full-Text PDF