Reverse flow posterior interosseous artery flap: A safe technique for reconstruction of wrist and hand defects

Arif Baig Mirza; Ijaz Hussain Shah; Muhammad Hussain; Muhammad Bilal Saeed; Ahmad Ali; Naheed Ahmed

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Reverse flow posterior interosseous artery flap: A safe technique for reconstruction of wrist and hand defects

Author(s)

Arif Baig Mirza Burn Centre, Nishtar Medical University, Multan, Pakistan

Ijaz Hussain Shah Burn Centre, Nishtar Medical University, Multan, Pakistan

Muhammad Hussain Burn Centre, Nishtar Medical University, Multan, Pakistan

Muhammad Bilal Saeed Burn Centre, Nishtar Medical University, Multan, Pakistan

Ahmad Ali Burn Centre, Nishtar Medical University, Multan, Pakistan

Naheed Ahmed Burn Centre, Nishtar Medical University, Multan, Pakistan

Abstract

Objective: To assess safety of Reverse Flow Posterior Interosseous Artery Flap in wrist and hand reconstruction regarding its complications. Study Design: Descriptive longitudinal study Place and Duration: Department of Plastic surgery and Burn Centre, Nishtar Medical University, Multan, 1st July 2016 to 30th June 2018. Methodology: Total 70 patients from both sex were included after taking Informed consent. The reverse flow PIA flap was performed under general anesthesia. The donor site was closed by using a partial thickness graft of skin from thigh. All patients were discharged after seven days. In next twenty one days patients were followed on weekly basis. At each follow-up, any complications like Flap necrosis, Infection, seroma or hematoma and poor aesthetic outcome of flap and donor site were examined. Results: In this series out of 70 cases complete flap survival were noted in 84.28% patients, in 1.4% patient there was marginal loss. Partial loss of PIA flaps in 11.4% cases and there was complete PIA flap loss in 2.85% patients. Infection was noted in 7.1% patient, Seroma in 2.85%, hematoma in 4.3%, Congestion in 7.1%. In 7.1% patients there was graft loss; whereas 8.6% developed aesthetic problem (contour irregularity) of the donor-site during the early postoperative period. Rest of 84.3% patients had no donor-site complications. Conclusion: The Posterior Interosseous Artery (PIA) flap has very few post-operative complications when used for the coverage of the wounds of the wrist and hand.

Publication Details

Page(s) 434-438

DOI DOI not available

Published Journal: Isra Medical Journal, Volume: 11, Issue: 6, Year: 2019

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Keywords

Flap complications, Flap necrosis, Posterior interosseous artery flap (PIAF), Hand/Wrist injuries, Upper limb reconstruction.