Distally based subcutaneous veins for venous insufficiency of the reverse posterior interosseous artery flap

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dc.contributor.authorÖzalp, Burhan
dc.contributor.authorElbey, Hüseyin
dc.contributor.authorAydın, Atakan
dc.contributor.authorÖzkan, Türker
dc.date.accessioned2024-04-24T15:59:29Z
dc.date.available2024-04-24T15:59:29Z
dc.date.issued2016
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Plastik Cerrahi Ana Bilim Dalıen_US
dc.description.abstractBackgroundThe 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.en_US
dc.identifier.citationÖzalp, 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.
dc.identifier.doi10.1002/micr.30048
dc.identifier.endpage390en_US
dc.identifier.issn0738-1085
dc.identifier.issn1098-2752
dc.identifier.issue5en_US
dc.identifier.pmid27002589
dc.identifier.scopus2-s2.0-84961817138
dc.identifier.scopusqualityQ2
dc.identifier.startpage384en_US
dc.identifier.urihttps://doi.org/10.1002/micr.30048
dc.identifier.urihttps://hdl.handle.net/11468/14099
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/10.1002/micr.30048
dc.identifier.volume36en_US
dc.identifier.wosWOS:000380016300005
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzalp, Burhan
dc.institutionauthorElbey, Hüseyin
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofMicrosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleDistally based subcutaneous veins for venous insufficiency of the reverse posterior interosseous artery flapen_US
dc.titleDistally based subcutaneous veins for venous insufficiency of the reverse posterior interosseous artery flap
dc.typeArticleen_US

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