| Retrograde posterior interosseous flap. | |
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MedLine Citation:
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PMID: 2022839 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A retrospective, continuous clinical series of 36 distally based posterior interosseous island flap procedures is reported. Major anatomic variations precluded the final dissection of the flap on two occasions (6%). Thirty-four patients had septocutaneous or septofascial flap coverage for treatment of acute complex injuries (12), subacute soft tissue defects (10), chronic ulcers (5), or contractures (7). The sizes of the flap islands varied from 1.5 by 4 centimeters to 9 by 11 centimeters. The arc of rotation, centered over the distal radioulnar joint, measured up to 19 centimeters, allowing the flaps to reach the dorsum of the proximal interphalangeal joints. Partial necrosis occurred in seven flaps; four (12%) required additional local or distant flaps. Partial failures were related to bleeding from the pedicle or compression thereof, while other assumed causes of hypoperfusion were not statistically relevant. The flaps remained slightly bulky in about 30% of the patients, but otherwise adapted well to the recipient site and had excellent texture and color match. The donor morbidity was minimal. |
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Authors:
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U Büchler; H P Frey |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of hand surgery Volume: 16 ISSN: 0363-5023 ISO Abbreviation: J Hand Surg Am Publication Date: 1991 Mar |
Date Detail:
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Created Date: 1991-06-06 Completed Date: 1991-06-06 Revised Date: 2009-06-08 |
Medline Journal Info:
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Nlm Unique ID: 7609631 Medline TA: J Hand Surg Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 283-92 Citation Subset: IM |
Affiliation:
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Division of Hand Surgery, Inselspital, University of Bern, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arteries / anatomy & histology Female Follow-Up Studies Forearm / blood supply Forearm Injuries / epidemiology, surgery* Humans Male Postoperative Complications / epidemiology Surgical Flaps / methods* Time Factors Wound Healing / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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