Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 29, 8036 Graz, Austria.
J Plast Reconstr Aesthet Surg. 2013 May;66(5):623-8. doi: 10.1016/j.bjps.2012.12.018. Epub 2013 Jan 29.
This study evaluated the clinical results, and especially the donor site morbidity of the posterior interosseous artery flap. A retrospective study included 40 patients with defects covered with posterior interosseous flaps. Twenty-one patients were available for a follow-up examination to assess donor site morbidity by evaluating the dimensions and quality of the donor site scar and the forearm contour as well as complaints and subjective satisfaction with the aesthetic result. The flaps and related donor sites healed uneventfully in 29 cases (72.5%); healing was delayed in 11 cases (27.5%), with total flap loss in two cases. Further surgery was required in six cases. The quality of the donor site scar rated with the Vancouver Scar Scale averaged 2.4 points. Eleven patients (55%) reported impaired sensibility around the donor site and four patients (20%) had physical complaints. Subjective and objective donor site evaluation revealed significantly lower donor site morbidity for directly closed as opposed to skin grafted donor sites, although subjectively, there was a high level of satisfaction in both groups. Our data indicated that the posterior interosseous flap is a valuable option for the management of soft-tissue defects on the dorsum of the hand, due to its anatomical reliability and soft and pliable tissue, its low donor site morbidity and high patient acceptance.
本研究评估了临床结果，特别是骨间后动脉皮瓣的供区并发症。一项回顾性研究纳入了 40 例采用骨间后动脉皮瓣覆盖缺损的患者。21 例患者可进行随访检查，通过评估供区瘢痕的尺寸和质量、前臂轮廓以及对供区美观效果的投诉和主观满意度，评估供区并发症。29 例（72.5%）皮瓣及其相关供区愈合顺利，11 例（27.5%）愈合延迟，2 例出现全层皮瓣坏死。6 例需要进一步手术。温哥华瘢痕量表评估的供区瘢痕质量平均为 2.4 分。11 例（55%）患者报告供区周围感觉受损，4 例（20%）患者有身体不适。主观和客观的供区评估显示，直接闭合供区的供区并发症明显低于植皮供区，尽管两组患者的供区满意度均较高。我们的数据表明，由于骨间后动脉皮瓣具有解剖可靠性和柔软、有弹性的组织，供区并发症低，患者接受度高，因此是手背软组织缺损的一种有价值的治疗选择。
