The posterolateral mid‐forearm perforator flap: Anatomical study and clinical application

Zhuang, Yuehong; Lin, Jin; Fu, Fei-Huan; Cai, Zhen-De; Huang, Huimei; Zheng, Heping

doi:10.1002/micr.22175

Cited by 5 publications

(1 citation statement)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The anatomical results on the perforators of the posterior interosseous artery (PIA) have different findings according to the current literature (Zhuang et al, 2013). This article aimed to reappraise the anatomy of the perforator from the branches of the PIA, and present our clinical experience on using the sequential PIA perforator flap, with the purpose of exploring whether this flap could overcome the shortcomings of the methods mentioned above.…”

Section: Introductionmentioning

confidence: 99%

Sequential posterior interosseous artery perforator flap for reconstruction of dorsal hand defects

Zhou

et al. 2022

Clinical Anatomy

View full text Add to dashboard Cite

Dorsal hand defects accompanied by exposure of bones and tendons remain a huge challenge for plastic surgeons. The pedicled perforator flaps have unique advantages in resurfacing the defects. This study aimed to investigate the clinical efficacy of the sequential posterior interosseous artery perforator flap for repairing dorsal hand defects. This study was composed of an anatomical study and clinical application. Anatomically, 30 adult upper limb specimens injected with red latex were dissected, the perforators from the branches of the posterior interosseous artery were observed in the dorsal forearm, and the sequential flap based on them was designed based on the anatomical characteristics. Clinically, nine cases of soft tissue defects on the dorsum of the hand were treated by this flap. Anatomically, the posterior interosseous artery divided into an ascending branch and a descending branch, and the descending branch traveled 1.0 ± 0.3 cm down to divide into the ulnar and radial terminal branches. The ulnar terminal branch presented constantly, and the radial terminal branch had an occurrence rate of 93.33%. Clinically, all flaps survived completely and possessed a soft texture and satisfactory appearance, as well as a nonbloated pedicle, and the donor region had a natural color and appearance with only a linear scar left behind. The sequential posterior interosseous artery perforator flap could become a useful option for repairing dorsal hand defects, as it has the advantages of being easy to perform without sacrificing the main vessels and avoiding donor area skin grafting.

show abstract

Section: Introductionmentioning

confidence: 99%