B B Dogra1, Manmohan Singh2, B Chakravarty3, S Basu3. 1. DDMS, HO Bengal Area (Med), Fort William, Kolkata. 2. Senior Adv (Surg), CH(SC), Kolkata. 3. Classified Specialist(Surg & Reconstructive Surg), CH(SC), Pune-40.
Abstract
BACKGROUND: Reconstruction of soft tissue defects in the hand need an early, single stage and well vascularised cover to achieve the best functional result. Usually a full thickness graft is required since vital structures like tendons, bones and joints are exposed and often there is need for secondary reconstruction. METHODS: We managed 12 cases of complex defects over the hand in the last 2 years with the posterior interosseous artery flap. RESULTS: In 5 cases the defect was due to blast injury and in 4 because of crush injury. Males predominated in the ratio of 5:1. The defect was most often in the 1(st) web space and the largest flap was 11×8 cm. In all but one case the donor site was covered by split skin graft, which settled well. 2 patients had superficial flap necrosis needing debridement and skin graft. CONCLUSION: Flap based on reverse flow in the posterior interosseous artery is a versatile and reliable source for full thickness cover of complex soft tissue defects in the hand.
BACKGROUND: Reconstruction of soft tissue defects in the hand need an early, single stage and well vascularised cover to achieve the best functional result. Usually a full thickness graft is required since vital structures like tendons, bones and joints are exposed and often there is need for secondary reconstruction. METHODS: We managed 12 cases of complex defects over the hand in the last 2 years with the posterior interosseous artery flap. RESULTS: In 5 cases the defect was due to blast injury and in 4 because of crush injury. Males predominated in the ratio of 5:1. The defect was most often in the 1(st) web space and the largest flap was 11×8 cm. In all but one case the donor site was covered by split skin graft, which settled well. 2 patients had superficial flap necrosis needing debridement and skin graft. CONCLUSION:Flap based on reverse flow in the posterior interosseous artery is a versatile and reliable source for full thickness cover of complex soft tissue defects in the hand.
Entities:
Keywords:
Posterior interosseous artery flap; Soft tissue defect of hand