Liang Gang, Ding Jian, Sun Jian-ping, Xu Bao-cheng, Gu Yun-feng
Department of Plastic and Burns Surgery, and Burns Surgery, the Second Hospital of Shaoxing City, Shaoxing 312000, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2011 Jan;27(1):23-7.
To summarize the therapeutic effect of multiple types of posterior interosseous artery flaps for repair of soft tissue defects in the upper extremities.
From March 2003 to June 2010, 42 cases with soft tissue defects in the upper limbs resulting from burn and traumatic injuries were treated using multiple types of posterior interosseous artery flaps, including retrograde flaps and composite flaps, antegrade flaps ,and free flaps. Flap size ranged from 2.5 cm x 2.0 cm-14.0 cm x 9.0 cm. The defects in the donor sites were closed directly or covered by skin graft.
The conventional retrograde posterior interosseous artery flaps were used in 11 cases, the modified retrograde posterior interosseous artery flaps were used in 13 cases, the retrograde posterior interosseous artery composite flaps incorporating partial extensors were used in 2 cases, the antegrade posterior interosseous artery flaps were used in 3 cases, the free posterior interosseous artery flaps were used in 7 cases, and the free perforator flap based on the radiodorsal septocutaneous perforator of the posterior interosseous artery were used in 6 cases. Partial necrosis happened in one case at the distal portion of the flap. Muscular branch of the posterior interosseous nerve was injured in one case with conventional reverse posterior interosseous artery flaps. All the other flaps survived uneventually with no complication. All wounds were primarily healed. 32 cases were followed up for 1 to 48 months with satisfactory aesthetic and functional results both in the donor sites and in the recipient areas. The color,texture and thickness of the flaps were satisfied as well.
The posterior interosseous artery flap has a constant vascular anatomy and a great flexibility, which is practical and suitable for repair of Soft tissue defect in the upper extremities arising from burn and traumatic injury.
总结多种类型骨间后动脉皮瓣修复上肢软组织缺损的治疗效果。
2003年3月至2010年6月，应用多种类型骨间后动脉皮瓣（包括逆行皮瓣、复合皮瓣、顺行皮瓣及游离皮瓣）治疗42例因烧伤和创伤导致上肢软组织缺损的患者。皮瓣面积为2.5 cm×2.0 cm至14.0 cm×9.0 cm。供区缺损直接缝合或用皮片覆盖。
采用传统逆行骨间后动脉皮瓣11例，改良逆行骨间后动脉皮瓣13例，含部分伸肌的逆行骨间后动脉复合皮瓣2例，顺行骨间后动脉皮瓣3例，游离骨间后动脉皮瓣7例，以骨间后动脉桡背侧隔皮穿支为蒂的游离穿支皮瓣6例。1例皮瓣远端部分坏死。1例采用传统逆行骨间后动脉皮瓣时骨间后神经肌支损伤。其余皮瓣均顺利成活，无并发症发生。所有创面均一期愈合。32例获随访1至48个月，供区和受区美观及功能效果满意。皮瓣颜色、质地及厚度均良好。
骨间后动脉皮瓣血管解剖恒定，灵活性大，实用，适合修复烧伤和创伤所致上肢软组织缺损。
