The Reliability of the Reversed Flow Posterior Interosseous Flap for the Coverage of Ulnar Hand Defects: A Series of 25 Cases

Yasser Aboelatta,Ibrahim Kamel,Mohammed Ghanem,Khaled Reyad,Ayman Shaker

doi:10.5171/2014.171625

Abstract

The Reliability of the Reversed Flow Posterior Interosseous Flap for the Coverage of Ulnar Hand Defects: A Series of 25 Cases

Highlights

The reverse posterior interosseous flap was first reported in 1986 by Lu et al [1] and Penteado et al [2]
The reversed radial forearm flap is considered the workhorse flap for hand reconstruction, while the posterior interosseous artery (PIA) flap did not take the same interest
This paper presents 25 cases with ulnar side hand defects that was reconstructed with PIA flap with 22 flaps survived (88%)

Summary

Introduction

The reverse posterior interosseous flap was first reported in 1986 by Lu et al [1] and Penteado et al [2]. Any upper extremity defect could be solved with either a distant pedicled flap or a free tissue transfer, the regional flaps from the forearm are considered the better options. The merits of a regional flap are single stage elevation, avoidance of hand dependency, early mobilization, and restriction of deformity to ipsilateral extremity [3]. The posterior interosseous artery (PIA) flap provides thin, soft and pliable skin with good colour and texture match. Some authors have reported a high incidence of complications, venous congestion with partial or total flap loss [4]

Methods

Results

Conclusion