Our experience with the anterior interosseous artery fasciocutaneous flap for local and distant soft tissue reconstructions

Franchi, Alberto; Scaglioni, Mario F.; Fritsche, Elmar

doi:10.1016/j.bjps.2022.04.036

Cited by 2 publications

(7 citation statements)

References 23 publications

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“… 8 Also, the flap pedicle is shorter than the AIA flap. 9 In the described case, a large defect was present in the hand dorsum and distal forearm, and CT angiography revealed no anastomosis between the PIA and AIA, and thus, the PIA flap was excluded.…”

Section: Discussionmentioning

confidence: 72%

“…In one study, the DSB was located 3 to 4 cm proximally and 0.5 to 1 cm ulnarly from Lister's tubercle. 9 In another study, it was found that if a straight line is drawn from the radial styloid process to the humerus lateral epicondyle after pronation of the forearm, the DSB exists within 1.5 cm of the point dividing the middle and distal thirds of the line (►Fig. 4).…”

Section: Discussionmentioning

confidence: 99%

“…Shibata and Ogishyo first described the AIA perforator flap in 1996, 12 and since, all reports on AIA flaps involve the use of the dorsal septocutaneous branch (DSB) of the AIA as pedicle. 6 7 9 12 13 The DSB passes through the radial side of the extensor pollicis longus (EPL) and then courses along the ulnar side of the radius and passes through fascia between the extensor pollicis brevis (EPB) and EPL ( Fig. 3A ).…”

Section: Discussionmentioning

confidence: 99%

“…3A ). 7 9 12 13 Reported DSB thicknesses range from 0.9 to 1.6 mm. 6 7 9 12 13 The DSB has been reported to be present in almost everyone and always with vena comitans.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator

Kang

Lee²,

Jung

et al. 2023

Arch Plast Surg

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The anterior interosseous artery (AIA) perforator flap is not commonly used in hand dorsum reconstruction compared to alternatives. However, it is a versatile flap with several advantages. Literature on the AIA perforator flap is based on the dorsal septocutaneous branch (DSB), which branches from the AIA and passes through fascia between the extensor pollicis longus (EPL) and extensor pollicis brevis (EPB) muscles. In the described case, the authors reconstructed a hand dorsum defect in a 78-year-old man using an AIA perforator flap with double perforators supplied by the DSB and a new perforator branching from the distal than DSB. No complication was encountered, and the flap survived completely. A retrospective CT review revealed the presence of the new perforator in 14 of 21 patients. Two types of new perforator were observed. One passed through the ulnar side of the extensor indicis proprius (EIP) muscle and penetrated fascia between the extensor digitorum minimi and extensor digitorum communis tendons, whereas the other passed between the EPL and EIP muscles. This report describes the anatomical location and clinical application of the new AIA perforators. The double perforators-based AIA flap provides a straightforward, reliable means of reconstructing hand dorsum defects.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…3A ). 7 9 12 13 Reported DSB thicknesses range from 0.9 to 1.6 mm. 6 7 9 12 13 The DSB has been reported to be present in almost everyone and always with vena comitans.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator

Kang

Lee²,

Jung

et al. 2023

Arch Plast Surg

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“…Hand injuries involve deep structures like tendons, vessels, nerves, ligaments, joints and bones making them exposed. In plastic surgery department hand trauma with soft tissue deficiency always remain challenging to manage so that good function of the hand may be achieved and taking care of the cosmesis as well 12 . In previous studies different flaps have been mentioned for the coverage of defects on dorsum and palmar aspect of hand.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of Reverse Radial Forearm Flaps in Covering Soft Tissue Defects of Hand and Wrist

Ahmed¹,

Malik²,

Romaiza³

et al. 2022

PJMHS

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Aim: To emphasize on the importance of reverse radial forearm flap (RRF flap) in the coverage of soft tissue defects of hand and wrist. Study design: This is a descriptive experimental study. Study place and duration: Study was comprised on the period of six months from January 2022 to June 2022. It was conducted in the plastic surgery department of Allama Iqbal Memorial Teaching Hospital Sialkot Methodology: Patients with the soft tissue defects of hand and wrist due to road traffic accidents, industrial or mechanical trauma and firearm injury were admitted to the plastic surgery ward. After achieving healthy wound with wound debridement, soft tissue coverage was done using reverse radial fasciocutaneous forearm flap. Patients with amputation of thumb and those with partial or complete bone loss were excluded from the study. Ages of the patients were 17-50 years with mean age of 31.42±5.3 years. Donor site of the flap was covered with split thickness skin graft and follow-up of the patients was done for at least three months. Results: 20 cases were included in this study including 16(80%) male and 04(20%) female cases. 15(75%) cases had soft tissue defect on the dorsum of hand, 04(20%) cases had palmar defect and in 01(5%) case there was amputation at transmetacarpal level and flap coverage of the stump was done. Partial loss of the flap happened in one 01(5%) case and it was treated with debridement and skin coverage. In one case superficial epidermolysis was found and managed conservatively. Practical implication Conclusion: Reverse radial forearm fasciocutaneous flap is an excellent option for the coverage of soft tissue defects of hand and wrist due to its greater arc of rotation which makes it easy to apply to the recipient site. Key words: Hand trauma, Soft tissue defects of hand, Reverse Radial Forearm Flap, Flap Coverage of Hand

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Our experience with the anterior interosseous artery fasciocutaneous flap for local and distant soft tissue reconstructions

Cited by 2 publications

References 23 publications

Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator

Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator

Usefulness of Reverse Radial Forearm Flaps in Covering Soft Tissue Defects of Hand and Wrist

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