Distally based subcutaneous veins for venous insufficiency of the reverse posterior interosseous artery flap
Yükleniyor...
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley-Blackwell
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
BackgroundThe reverse posterior interosseous artery flap (PIAF) provides soft, thin, and pliable tissue for upper extremity reconstruction without sacrificing any major arteries of the hand. The authors performed a new technique that included one extra distally based subcutaneous vein within the pedicle to diminish venous insufficiency and they aimed to present the results of reconstruction with this technique. Patients and MethodsTwelve patients with a mean age of 30years (range 5-52years) underwent reverse PIAF surgery. The defects were located on the hand and wrist, with a mean area of 57.8cm(2) (range 20-99cm(2)). After the skin between the distal edge and the pivot point of the flap was elevated, the most reliable subcutaneous vein was chosen, chased, and included within the flap. ResultsThe average size of the PIAF was 6x5cm to 12x9cm (mean area: 64.4cm(2)) and the median follow-up time was 13months (range 4-16months). The mean quick Disabilities of the Arm, Shoulder and Hand (DASH) score was 21.4, indicating a low degree of disability. Of the 12 patients, ten were very satisfied and two were satisfied with the result of the reconstruction. All but one flap survived completely. One flap was nearly totally lost due to arterial insufficiency after hemodialysis. We observed no venous congestion or insufficiency in the patients. ConclusionsSubcutaneous veins may be reliable and useful for overcoming major drawbacks associated with reverse flow posterior interosseous artery flap and for diminishing flap loss due to venous insufficiency.
Açıklama
Anahtar Kelimeler
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Kaynak
Microsurgery
WoS Q Değeri
Q2
Scopus Q Değeri
Q2
Cilt
36
Sayı
5
Künye
Özalp, B.,Elbey, H., Aydın, A. ve Özkan, T. (2016). Distally based subcutaneous veins for venous insufficiency of the reverse posterior interosseous artery flap. Microsurgery, 36(5), 384-390.
