Summary
Based on our experience of 102 clinical cases and 100 anatomical dissections, we have
assessed the indications for the posterior interosseous flap in reconstruction of
the hand. Large fasciocutaneous island flaps can be harvested, even when the radial
or ulnar pedicles are damaged. One real advantage is that the posterior interosseous
artery is a vessel of secondary importance for hand vascularisation. Fasciocutaneous
and osteofasciocutaneous island distally based flaps can be tailored. The major indications
are reconstruction of the first web space up to the interphalangeal joint of the thumb,
dorsal hand defects up to the metacarpal joints and large defects on the palm-ulnar
border of the hand. It is, therefore, a primary weapon amongst hand reconstruction
techniques.
Keywords
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References
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Article info
Publication history
Published online: May 18, 2007
Accepted:
March 7,
2007
Received:
November 16,
2006
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
