Posterior neurocutaneous vascular axial flap pedicled with distal segment of the posterior interosseous artery in the forearm for repairing defects of the hand

• DOI: 10.3760/cma.j.issn.1005-054x.2009.01.018
• Publication Date: 2009-02-10
• Authors: Xuesong Chen; Mao-ming Xiao; Yuan-Shan Wang; Gan Huang; Li Guan; Liming Zhang; Chen Zhou

Objective To report the surgical techniques and clinical results of modified posterior neurocutaneous vascular axial flap in forearm.Methods A reversed forearm pedicled with distal segment interosseous artery was designed to repair skin defects hand caused by hish energy injuries.Tweney-two patients defect dorsal wrist were treated this flap.The distal-most at proximal interphalangeal joint.The largest measured 14 cm×10 cm.The longest pedicle 12 cm.Results All flaps transferred successfully without necrosis.There no crisis.Postoperative follow up ranged from 6 months.The had good texture consistency.Hand function appearance Were satisfactory.Conclusion Modified reverse can overcome limimtions harvest area rotation distance conventional flap,making it suitable for repairing large soft tissue hand.

Key words: Forearm; Wounds injuries; Transplantation; Microsurgery; Neurocutaneous