Le lambeau interosseux postérieur

Masquelet, A. C.; Penteado, Cassio V.

doi:10.1016/s0753-9053(87)80027-3

Cited by 121 publications

(22 citation statements)

References 4 publications

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“…21,22 Among island flaps, the forearm is most popular donor site, the bone fragment being taken from radius or ulna based on the radical artery the posterior interosseous artery. [23][24][25] In our 4 cases we used reversed osteocutaneous radial forearm island flap. The patients had loss of dorsal aspect of skin and soft tissue with part of loss of bone.…”

Section: Discussionmentioning

confidence: 99%

Reversed osteocutaneous radial forearm island flap for traumatic thumb reconstruction

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Reversed osteocutaneous radial forearm island flap for traumatic thumb reconstruction

et al. 2016

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“…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%

“…This flap provides vascularized soft tissue to the dorsal and palmar regions of the hand, including the proximal phalanx of the thumb and the digits, in addition to the first web space. Since the first reports of the RPIF [12,15,16], anatomical variations of the posterior interosseous artery were found to be commonly related; these included a tiny posterior interosseous artery in the middle third of the forearm or an absent anastomosis with the anterior interosseous artery at the wrist. [1,2,3,7,8,11,12,13,14,15,16].…”

Section: Introductionmentioning

confidence: 99%

“…Since the first reports of the RPIF [12,15,16], anatomical variations of the posterior interosseous artery were found to be commonly related; these included a tiny posterior interosseous artery in the middle third of the forearm or an absent anastomosis with the anterior interosseous artery at the wrist. [1,2,3,7,8,11,12,13,14,15,16]. Although the number and anatomy of the septocutaneous perforators have been well described in the literature [1,2,3,4,15,16], there is little information about their anatomical variations and possible complications such as partial flap necrosis.…”

Section: Introductionmentioning

confidence: 99%

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

2002

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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.

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“…After bone synthesis, our major concern was the palmar defect. The posterior interosseous flap [10] was not available because of the wrist contusions, involving the distal radio-ulnar joint. Moreover, we could not use an antebrachial radial flap [14] because of the injuries of the palmar arch.…”

Section: Case Reportmentioning

confidence: 99%