Reliability and Versatility of Posterior Interosseous Artery Flap in Reconstructing Hand Soft Tissue Defects | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 05 April 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.198573.1265 | ||
| Authors | ||
| Ahmed Talaat Ahmed* 1; Mohamed Abdel Aal Hasanyn2; Ahmed Gaber Abdelmegeed3; Gamal Youssef Elsayed4 | ||
| 1Plastic surgery department, Sohag university hospital, Sohag, Egypt | ||
| 2Plastic surgery department, faculty of medicine, sohag university, sohag, Egypt | ||
| 3Plastic surgery department, Faculty of medicine, Sohag university, Sohag, Egypt. | ||
| 4Plastic and reconstructive surgery department, faculty of medicine, sohag university. | ||
| Abstract | ||
| Background: The posterior interosseous artery flap (PIAF) is indicated in the reconstruction of soft tissue defects on the 1st webspace, dorsal & volar aspect of the hand and wrist. The PIAF is a long-lasting and aesthetically pleasing solution for covering deficiencies in soft tissue when bone and/or tendons are exposed on the dorsal & palmer sides of the thumb, hand & wrist. This research aimed to assess the PIA fasciocutaneous flap in reconstruction of hand defects in terms of aesthetic appearance, hand function & morbidity at the donor site. Methods: This case series research was carried out on 15 cases with soft tissue hand defects. All cases underwent full history taking, clinical evaluation, laboratory investigations and radiological evaluation with plain X-rays. Results: Regarding the scar assessment, it was good in 12 (80%) cases and fair in 3 (20%). DASH score ranged from 30 – 60 with a mean of 38.7 ± 11.25. Regarding donation site problems, only 2 (13%) cases had cold intolerance and numbness. Regarding the incidence of complications, there were 1 (7 %) patient had distal flap necrosis and 1 (7%) had venous congestion. The hospital stay of the studied cases ranged from 4 – 10 days with a mean of 6.9 ± 1.83 day. The follow up of the studied cases ranged from 3 – 6 months with a mean of 4.3 ± 1.11 months. Conclusions: The reverse-flow PIAF is a reliable and versatile flap for defects resurfacing of mild to moderate size on the dorsal & palmar aspect of the hand up to the MPJ, thumb up to the IP joint & 1st web space. | ||
| Keywords | ||
| Posterior Interosseous Artery Flap; Reliability; Versatility; Reconstructing; Hand soft tissue defects | ||
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