Abstract
This paper describes and discusses some clinical applications of the posterior interosseous forearm flap in hand reconstruction, including the fact that damage to the radial artery or palmar arches was present. This vascular advantage is illustrated in three clinical cases of hand trauma where a positive Allen test was present. Another real advantage is the availability of the normal venous and arterial flow patterns of the radial vessels as receptor vessels for later free tissue transfer. This point is also illustrated in one clinical case of thumb reconstruction by a second toe transfer.
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Biemer E, Stock W (1983) Total thumb reconstruction: a one-stage reconstruction using an osteocutaneous forearm flap. Br J Plast Surg 36:52–55
Braun JB (1977) Les artéres de la main. Thése, Université de Nancy
Costa H, Soutar DS (1988) The distally based island posterior interosseous flap. Br J Plast Surg 41:221–227
Costa H, Smith R, McGrouther DA (1988) Thumb reconstruction by the posterior interosseous osteocutaneous flap. Br J Plast Surg 51:228–233
Costa H, Comba S, Martins A, Rodrigues J, Reis J, Amarante J (1991) Further experience with the posterior interosseous flap. Br J Plast Surg 44:449–455
Foucher G, Genechten F, Merle N, Michon J (1984) A compound radial artery forearm flap in hand surgery: an original modification of the chinese forearm flap. Br J Plast Surg 37:139–148
Glasson DW, Lovie MJ (1988) The ulnar island flap in hand and forearm reconstruction. Br J Plast Surg 41:349–353
Guimberteau JC, Goin JL, Panconi B, Schuhmacher B (1988) The reverse ulnar artery forearm island flap in hand surgery: 54 cases. Plast Reconstr Surg 81:925–932
Jones BM, O'Brien CJ (1985) Acute ischaemia of the hand resulting from elevation of a radial forearm flap. Br J Plast Surg 38:396–397
Kleinert JM, Fleming SG, Abel RMC, Firrel J (1989) Radial and ulnar artery dominance in normal digiti. J Hand Surg 14A:504–508
Lin SD, Lai CS, Chin CC (1984) Venous drainage in the reverse forearm flap. Plast Reconstr Surg 74:508–510
Li Zhutian, Li KE, Cao Yude (1989) The reverse flow ulnar artery island flap: 42 clinical cases. Br J Plast Surg 43:256–259
Masquelet AC, Penteado CV (1987) Le lambeau interosseux postérieur. Ann Chir Main 6:131–139
Penteado CV, Masquelet AC, Chevrel JP (1986) The anatomic basis of the fasciocutaneous flap of the posterior interosseous artery. Surg Radiol Anat 8:209–215
Reid CD, Moss LH (1983) One-stage flap repair with vascularised tendon grafts in a dorsal hand injury using the chinese forearm flap. Br J Plast Surg 36:473–479
Soutar DS, Tanner NSB (1984) The radial forearm flap in the management of soft tissue injuries of the hand. Br J Plast Surg 37:18–26
Stock W Mühlbauer W Biemer E (1981) Der neurovaskuläre Unterarm-Insel-Lappen. Z Plast Chir 5:158–161
Suominen S, Asko-Seljavaara S, Attovuo J (1984) Thermography and color Doppler ultrasonography of hands after radial forearm flap elevation. Presented at the 5th Annual Meeting of the European Association of Plastic Surgeons, May 14, 1994, Geneva, p 95
Timmons MJ, Missotten FEM, Poole MD, Davies DM (1986) Complications of radial forearm flap donor sites. Br J Plast Surg 39:176–178
Zancolli EA, Angrigiani C (1986) Colgajo dorsal de antebrazo (en isla) (pediculo de vasos interoseos posteriores). Rev Asoc Arg Ortop Traumatol 51:161–168
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Costa, H., Cunha, C., Silva, A. et al. One real advantage of the distally based posterior interosseous island flap. Eur J Plast Surg 19, 92–96 (1996). https://doi.org/10.1007/BF00207923
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DOI: https://doi.org/10.1007/BF00207923