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The Egyptian Journal of Plastic and Reconstructive Surgery
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Volume Volume 49 (2025)
Volume Volume 48 (2024)
Volume Volume 47 (2023)
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Volume Volume 46 (2022)
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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

Article 4, Volume 47, Issue 4, October 2023, Page 259-265  XML PDF (16.36 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2023.319937
View on SCiNiTO View on SCiNiTO
Authors
Ahmed Talaat Elsayed* ; Mohamed Abdel Aal Hassanym* ; Ahmed Gaber Abdel Megeed; Gamal Youssef Elsaayed
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.
Keywords
Posterior Interosseous Artery Flap; Reliability; Versatility; Reconstructing; Hand soft tissue defects
Main Subjects
Hand and Upper Limb Surgery'
Supplementary Files
download Sur. 3.pdf
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