Indications, Selection, and Use of Distant Pedicled Flap for Upper Limb Reconstruction

Sabapathy, S. Raja; Bajantri, Babu

doi:10.1016/j.hcl.2014.01.002

Cited by 50 publications

(44 citation statements)

References 21 publications

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“…The pedicled groin and abdominal flaps have been utilized in many studies. [22] However, multi-staged procedure and bulky structure are the main disadvantages of these techniques.…”

Section: Discussionmentioning

confidence: 99%

Versatile Use Of 'The Posterior Interosseous Flap' In The Reconstruction Of Complex Upper Limb Defects

Barin

Çinal

Kara³

et al. 2019

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Reconstruction of the complex upper extremity defects is a challenging procedure for reconstructive surgeons because of the complex anatomical and functional structure of this region. In reconstruction, local and regional flap options involving the composite tissues are restricted. The posterior interosseous flap (PIO) has been presented "in a single study" with a wide variety of uses, and in this study, the versatility of PIO has been tried to be emphasized by its multitude uses as well as its chance at adaptability to each case. Hence, due to this, the objective to highlight the versatile utility of the PIO flap in clinical practice and to present a good option for the reconstruction of complex upper limb defects for various cases have been targeted. METHODS: We used 26 PIO flaps in 25 patients (18 male and seven female patients) with upper limb defects. The main etiological causes were burn contracture, traffic accident, firearm and acute burn injury. Twenty-two flaps were harvested as fasciocutaneous and four flaps as osteo-fasciocutaneous manner, which were applied to the metacarpal defects. In this study, 25 flaps were transferred as pedicled flaps, of which 23 and 2 flaps had reverse and antegrade blood flows, respectively, whereas one flap was used as a free flap. RESULTS: The mean follow-up period was 14 months. All flaps except one, which had partial necrosis and secondary healed, survived completely. All patients were able to gain basic functions for daily routine activities in the late postoperative period. Patients and/ or their parents were satisfied with the postoperative functional and aesthetic improvements. CONCLUSION: Many advantages of the PIO flap make it useful for the reconstruction of upper limb complex defects. It can be versatilely used based on changing its flow direction and enrichment of contents.

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“…The pedicled groin and abdominal flaps have been utilized in many studies. [22] However, multi-staged procedure and bulky structure are the main disadvantages of these techniques.…”

Section: Discussionmentioning

confidence: 99%

Versatile Use Of 'The Posterior Interosseous Flap' In The Reconstruction Of Complex Upper Limb Defects

Barin

Çinal

Kara³

et al. 2019

Ulus Travma Acil Cerrahi Derg

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“…In the current era of microsurgery, pedicled 10 This has been documented by the experience of several authors with abdominal and groin flaps. 1,2,10,11 Since the initial description of TUF by Taylor et al, 4 many authors have described its clinical utility in various regions of the upper limb. [12][13][14][15] It was termed as paraumbilical flap by several authors.…”

Section: Discussionmentioning

confidence: 99%

“…Pedicled flaps are still lifeboat options in the event of the paucity of recipient vessels, failure of microvascular surgery, salvage of replantation or revascularization, and limited resource settings. 1 Thoracoumbilical flap (TUF) being an axial flap with better length-to-width ratio, it has several distinct advantages over the groin and abdominal flaps. 2 For forearm and wrist soft tissue defects, higher length-to-breadth ratio facilitates maximum flap inset, and a narrow bridge segment of the flap provides better comfort and facilitates physiotherapy.…”

Section: Introductionmentioning

confidence: 99%

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

Naalla

Dawar

et al. 2018

J Hand Microsurg

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“…A recent large review of the superficial circumflex iliac artery perforator flap demonstrated it to be one of the thinnest options available with a thickness of 3 to 7 mm (average, 5 mm). 19 Composite flaps with osseous donation from the iliac crest or tendon reconstruction using the external oblique aponeurosis can make this flap a versatile option for upper extremity reconstruction 20 (Fig. 3).…”

Section: Distant Pedicled Flaps Groin Flapmentioning

confidence: 99%

Management of Soft Tissue Defects of the Hand

Yannascoli

Thibaudeau

Levin

2015

The Journal of Hand Surgery

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Indications, Selection, and Use of Distant Pedicled Flap for Upper Limb Reconstruction

Cited by 50 publications

References 21 publications

Versatile Use Of 'The Posterior Interosseous Flap' In The Reconstruction Of Complex Upper Limb Defects

Versatile Use Of 'The Posterior Interosseous Flap' In The Reconstruction Of Complex Upper Limb Defects

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

Management of Soft Tissue Defects of the Hand

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