The use of chimeric musculocutaneous posterior interosseous artery flaps for treatment of osteomyelitis and soft tissue defect in hand

There is growing evidence of the superior ability of muscular tissue to clear bacterial bone infection. Unfortunately, in the hand, there are almost no small local muscular flaps, and muscular transfers to the hand are mainly microsurgical free transfers. In this report, we present the results of the use of a chimeric posterior interosseous flap including part(s) of the forearm muscles to treat osteomyelitis and soft tissue defect of hand from a series of patients.

[1]  Jun Liu,et al.  Tripaddle Posterior Interosseous Artery Flap Design for 3-Finger Defects: An Evaluation of 3 Surgical Approaches , 2016, Annals of plastic surgery.

[2]  N. Capdarest-Arest,et al.  Deepithelized posterior interosseous artery flap for 3-dimensional defect coverage in the hand. , 2015, Techniques in hand & upper extremity surgery.

[3]  T. Balakrishnan,et al.  Role of Interosseous Recurrent Artery Perforators in the Posterior Interosseous Artery Flap , 2015, Journal of Hand and Microsurgery.

[4]  P. Liu,et al.  Anatomical basis of a proximal fasciocutaneous extension of the distal-based posterior interosseous flap that allows exclusion of the proximal posterior interosseous artery. , 2015, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[5]  John J. Fernandez,et al.  Local and regional flaps for hand coverage. , 2014, The Journal of hand surgery.

[6]  S. Iyer.  Extensor digiti minimi transfer for thumb extension. , 2013, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[7]  J. Nanchahal.  Reply: Soft-tissue reconstruction of open fractures of the lower limb: muscle versus fasciocutaneous flaps. , 2013, Plastic and reconstructive surgery.

[8]  J. Barbour,et al.  Transfer of the extensor digiti minimi and extensor carpi ulnaris branches of the posterior interosseous nerve to restore intrinsic hand function: case report and anatomic study. , 2013, The Journal of hand surgery.

[9]  N. Vedder,et al.  Thumb reconstruction. , 2011, Clinics in plastic surgery.

[10]  G. Hallock,et al.  In an era of perforator flaps, are muscle flaps passé? , 2009, Plastic and reconstructive surgery.

[11]  O. Tan.  Reverse Posterior Interosseous Flap in Childhood: A Reliable Alternative for Complex Hand Defects , 2008, Annals of plastic surgery.

[12]  H. Ağır,et al.  Distally Based Posterior Interosseous Flap: Primary Role in Soft-Tissue Reconstruction of the Hand , 2007, Annals of plastic surgery.

[13]  K. An,et al.  Anatomic variation of the 5th extensor tendon compartment and extensor digiti minimi tendon , 2007, Clinical anatomy.

[14]  Laijin Lu,et al.  The reverse posterior interosseous flap and its composite flap: experience with 201 flaps. , 2007, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[15]  Geoffrey G. Hallock,et al.  Further Clarification of the Nomenclature for Compound Flaps , 2006, Plastic and reconstructive surgery.

[16]  M. akıncı,et al.  The reverse posterior interosseous flap: A solution for flap necrosis based on a review of 87 cases. , 2006, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[17]  J. Chevrel,et al.  The anatomic basis of the fascio-cutaneous flap of the posterior interosseous artery , 2006, Surgical and Radiologic Anatomy.

[18]  S. Jeng,et al.  Application of “Simplified Nomenclature for Compound Flaps” to the Anterolateral Thigh Flap , 2005, Plastic and reconstructive surgery.

[19]  M. Fujiwara,et al.  Modified Posterior Interosseous Flap in Hand Reconstruction , 2003, Techniques in hand & upper extremity surgery.

[20]  J. Mader,et al.  A Clinical Staging System for Adult Osteomyelitis , 2003, Clinical orthopaedics and related research.

[21]  S. Akın,et al.  Osteocutaneous Posterior Interosseous Flap for Reconstruction of the Metacarpal Bone and Soft‐Tissue Defects in the Hand , 2002, Plastic and reconstructive surgery.

[22]  D. Soutar,et al.  The posterior interosseous flap: a review of 81 clinical cases and 100 anatomical dissections--assessment of its indications in reconstruction of hand defects. , 2001, British journal of plastic surgery.

[23]  T. K. Hunt,et al.  A study of the relationship between blood flow and bacterial inoculation in musculocutaneous and fasciocutaneous flaps. , 1990, Plastic and reconstructive surgery.

[24]  R. Smith,et al.  Thumb reconstruction by the posterior interosseous osteocutaneous flap. , 1988, British journal of plastic surgery.

[25]  E. Zancolli,et al.  Posterior interosseous island forearm flap. , 1988, Journal of hand surgery.