Article Sidebar

PDF
Date Published: 20/12/2023
Abstract Views: 85
Views PDF: 159
DOI: https://doi.org/10.56535/jmpm.v48i9.517
Issue
Vol. 48 No. 9 (2023): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 9 - 2023
Section
Articles
How to Cite
Vũ, M. Đ., & Mai, T. T. (2023). EVALUATION OF THE SURVIVAL OUTCOME AND COVERAGE ABILITY OF POSTERIOR INTEROSSEOUS FLAP IN FOREARM - HAND DEFECTS. Journal of Military Pharmaco-medicine, 48(9), 134-145. https://doi.org/10.56535/jmpm.v48i9.517

EVALUATION OF THE SURVIVAL OUTCOME AND COVERAGE ABILITY OF POSTERIOR INTEROSSEOUS FLAP IN FOREARM - HAND DEFECTS

Minh Đức Vũ , Trọng Tường Mai

Main Article Content

Abstract

Objectives: To assess the survival rate and coverage ability of the posterior interosseous flap. Methods: A retrospective, case series descriptive study on 40 posterior in terosseous flaps in the Department of Microsurgery and Plastic Surgery, Ho Chi Minh City Orthopedics and Rehabilitation Hospital, from August 1st 2016 to May 31st 2018. Results: From August 1st 2016 to May 31st 2018, 40 patients (27 males and 13 females) used the posterior interosseous flap; the age was 37.35 ± 15.65; 4 cases (10%) covered the forearm distal end, 8 cases (20%) covered finger first web, 21 cases (52.5%) covered hand defects, 7 cases (17.5%) covered finger defects. There were 34 cases (85%) of the flap was complete survive, 3 cases (7.5%) had cyanosis distal end, 1 case (2.5%) had necrosis distal end, 1 case (2.5%) had a half flap necrosis, and 1 case (2.5%) was total flap necrosis. Conclusion: The posterior interosseous flap is reliable and is well-covered for the distal end of forearms, hands, and fingers.

Article Details

Keywords

Posterior interosseous flap, Forearm defects, Hand defects, Finger defects

References

1. Mcgregor Ian A. Flap reconstruction in hand surgery: The evolution of presently used methods. The Journal of Hand Surgery. 1979; 4(1):1-10. DOI: https://doi.org/10.1016/S0363-5023(79) 80097-0.
2. Chase Robert A. The development of tissue transfer in hand surgery. The Journal of Hand Surgery. 1984; 9(4):463-477. DOI: https://doi.org/ 10.1016/S0363-5023(84)80095-7.
3. Kirill Pshenisnov Vladimir Minachenko, Vladimir Sidorov, Alexei Hitrov. The use of island and free flaps in crush avulsion and degloving hand injuries. The Journal of Hand Surgery. 1994; 19(6):1032-1037. DOI: https://doi.org/10.1016/0363-5023(94) 90111-2.
4. Võ Văn Châu. Dùng vạt da gian cốt sau ngược dòng để che phủ chỗ thiếu hổng phần mềm ở bàn tay. Luận văn chuyên khoa cấp II. Chuyên ngành Phẫu thuật Tạo hình. Đại học Y Hà Nội. 2000:5-15.
5. Ueli Büchler Hans-Peter Frey. Retrograde posterior interosseous flap. The Journal of Hand Surgery. 1991; 16(2):283-292. DOI: https://doi.org/ 10.1016/s0363-5023(10)80112-1.
6. Ahmet Ege Ibrahim Tuncay, Ömer Erçetin. Posterior interosseous artery flap in traumatic hand injuries. Archives of Orthopaedic and Trauma Surgery. 2003; 123(7):323-326. DOI: https://doi.org/10.1007/s00402-003-0540-x.
7. Lai Jin Lu Xu Gong, Zhi Gang Liu, Zhi Xin Zhang. Antebrachial reverse island flap with pedicle of posterior interosseous arterty: A report of 90 cases. The Bristish Association of Plastic Surgeons. 2004; 57:645-652. DOI: https://doi.org/10.1016/j.bjps.2004.05.027.
8. Gavaskar Ashok S. Posterior interosseous artery flap for resurfacing posttraumatic soft tissue defects of the hand. HAND. 2010; 5(4):397-402. DOI: https://doi.org/10.1007/s11552-010-9267-7.
9. Lai-Jin Lu Xu Gong, Xin-Min Lu, Ke-Li Wang. The reverse posterior interosseous flap and its composite flap: Experience with 201 flaps. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2007; 60(8):876-882. DOI: https://doi.org/10.1016/j.bjps.2006.11.024.
10. Horácio Costa Armindo Pinto, Horácio Zenha. The posterior interosseou flap - a prime technique in hand reconstruction. The experience of 100 anatomical dissections and 102 clinical cases. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2007; 60:740-747. DOI: https://doi.org/10.1016/j.bjps.2007. 03.010.