The Vascular Microanatomy of Skin Territory of Posterior Forearm and Its Clinical Application

Ding, Yuchuan; Lü, Ying; Ly, Shiying

doi:10.1097/00000637-198902000-00007

Cited by 15 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We wondered if anatomical variations related to extended flaps were more often associated with complications and flap loss. The anatomy of the posterior interosseous artery system and its variations have been well established in the literature [1,2,3,4,5,9,12,15,16]. There are three anatomically weak areas in the system that can interfere with a flap procedure.…”

Section: Discussionmentioning

confidence: 99%

How reliable is the posterior interosseous flap? A review of 88 patients

2002

View full text Add to dashboard Cite

The distally-based, reverse posterior interosseous flap can be used to reconstruct soft tissue defects in the region of the hand, provided there is an intact anastomotic network of the posterior and anterior interosseous system at the wrist. Between 1986 and 2000, 88 flap procedures were planned. Anatomical variations were recorded in 21 patients (24%) and precluded the use of the flap in five patients. In the remaining 16 patients, flap dissection was more difficult due to anatomical variations. There was a complication rate of 23%, including haematoma, congestion, infection or technical errors, which resulted in flap necrosis of variable degrees in 11 patients (13%). In case of haematoma, flap loss could be reduced by early revision surgery. There was no statistical correlation between anatomical variations and complications or flap loss. Secondary flap corrections, including defatting and remodelling, were commonly performed in due course. Knowing the limitations of the posterior interosseous flap, fasciocutaneous flaps are considered ideal to reconstruct soft tissue defects or contractures of the thumb web and the dorsal hand because of good tissue matching. Fascial flaps are a good option for palmar defects or to wrap neurolized nerves.Keywords Reverse posterior interosseous flap · Distally-based fasciocutaneous island forearm flap · Hand reconstruction Materials and methodsFrom 1986 to 2000, 88 patients were scheduled for reverse posterior interosseous flaps. There were 79 males and nine females. Ages ranged from 1.2 to 86.0 years, with an average of 39.8 years.

show abstract

Section: Discussionmentioning

confidence: 99%

How reliable is the posterior interosseous flap? A review of 88 patients

2002

View full text Add to dashboard Cite

show abstract

“…26 Hypothetically, flaps with cutaneous perforators of the PIA pedicle, linking vessels to the feeding artery, could be an alternative approach to the traditional reverse PIA flap for the repair of small-scale tissue defects and could avoid the disadvantages mentioned above. Although several anatomical studies of PIA flaps have been published previously, 4,20,27,28 the locations of the perforator clusters along the ulnar head-tolateral epicondyle interval axis have not been defined. Therefore, the present study systematically studied the cutaneous perforators of the PIA using modern anatomical microscopy techniques, such as vascular perfusion, molding, and specimen clearance to provide anatomical information for clinical practice.…”

mentioning

confidence: 99%