Elsayed, A., Hassanym, M., Abdel Megeed, A., Elsaayed, G. (2023). Reliability and Versatility of Posterior Interosseous Artery Flap in Reconstructing Hand Soft Tissue Defects. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(4), 259-265. doi: 10.21608/ejprs.2023.319937
Ahmed Talaat Elsayed; Mohamed Abdel Aal Hassanym; Ahmed Gaber Abdel Megeed; Gamal Youssef Elsaayed. "Reliability and Versatility of Posterior Interosseous Artery Flap in Reconstructing Hand Soft Tissue Defects". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 4, 2023, 259-265. doi: 10.21608/ejprs.2023.319937
Elsayed, A., Hassanym, M., Abdel Megeed, A., Elsaayed, G. (2023). 'Reliability and Versatility of Posterior Interosseous Artery Flap in Reconstructing Hand Soft Tissue Defects', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(4), pp. 259-265. doi: 10.21608/ejprs.2023.319937
Elsayed, A., Hassanym, M., Abdel Megeed, A., Elsaayed, G. Reliability and Versatility of Posterior Interosseous Artery Flap in Reconstructing Hand Soft Tissue Defects. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(4): 259-265. doi: 10.21608/ejprs.2023.319937
Reliability and Versatility of Posterior Interosseous Artery Flap in Reconstructing Hand Soft Tissue Defects
The Department of Plastic Surgery, 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. Objective: 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 posterior interosseous artery flap (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.
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