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:: Volume 6, Issue 2 (4-2017) ::
wjps 2017, 6(2): 152-158 Back to browse issues page
The Anterior Interosseus Artery Perforator Flap: Anatomical Dissections and Clinical Study
Nikhil S Panse , Sheetal B Joshi , Parag B Sahasrabudhe , B Bahetee , Pradnya Gurude , Ajay Chandanwale
Department of Plastic Surgery, BJGMC, Pune, India
Abstract:   (1097 Views)

BACKGROUND

Reconstruction of upper extremity deformities continues to be a challenge to the reconstructive surgeon. Various loco regional, distant and free flaps are available for reconstruction. However, each has its own set of advantages and disadvantages. Of the commonly performed local flaps, radial artery forearm flap, and the posterior interosseus artery flap stand out prominently. Recently, perforator propeller flaps have been used for resurfacing the upper extremity. The anterior interosseus artery perforator flap is an uncommonly used and described flap.

METHODS

This study was divided into anatomical study and clinical application in a IV level of evidence. In the anatomical study, five upper extremities were studied. Clinically, 12 patients underwent reconstruction using the anterior interosseus artery perforator flap. Flaps were performed by a single surgeon. A retrospective review of these cases from November 2008 to May 2014 is presented.

RESULTS

The anterior interosseus artery perforator was identified in four out of five cadaver limbs. The septocutaneous perforator was in the fifth extensor compartment around 4 cm proximal to the wrist joint. Of the twelve flaps, there was complete necrosis in one flap, and partial necrosis in one flap. The patient with complete necrosis underwent skin grafting at a later date. The wound healed secondarily in case of partial flap necrosis.

CONCLUSION

Anterior interosseus artery perforator flap must be considered as an important reconstructive option in the armamentarium of the plastic surgeon, while managing hand and wrist defects.

Keywords: Upper extremity, Perforator flap, Propeller flap, Anterior interosseus artery perforator flap
Full-Text [PDF 2363 kb]   (430 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2017/02/27 | Accepted: 2017/02/27 | Published: 2017/02/27
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Panse N S, Joshi S B, Sahasrabudhe P B, Bahetee B, Gurude P, Chandanwale A. The Anterior Interosseus Artery Perforator Flap: Anatomical Dissections and Clinical Study. wjps. 2017; 6 (2) :152-158
URL: http://wjps.ir/article-1-324-en.html
Volume 6, Issue 2 (4-2017) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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