ISRA MEDICAL JOURNAL p-ISSN: 2073-8285
e-ISSN: 2413-9289
Excellence in Medical Education
الأربعاء 22 ذو الحجة 1441
Wednesday 12th August 2020
Current Issue:
Volume 11 - Issue 6, Nov - Dec 2019
Archives Instructions for Authors Manuscript Submission Review Process Instructions for Reviewer Ahead of Printing Article Tracking
IMJ is recognized by;

- Higher Education Commision of Pakistan (HEC)
- Pakistan Medical & Dental Council (PMDC)

IMJ is Covered by;
- Directory of Open Access scholarly Resources (ROAD)
- EBSCO
- Index Copernicus International (IC Journals Master List)
- Index Medicus for the Eastern Mediterranean Region (IMEMR)
- PakMediNet
- BiblioMed
Title:
Reverse flow posterior interosseous artery flap: A safe technique for reconstruction of wrist and hand defects
Authors:
Arif Baig Mirza, Ijaz Hussain Shah, Muhammad Hussain, Muhammad Bilal Saeed, Ahmad Ali, Naheed Ahmed
Published on:
2019-12-31
Journal Reference:
Volume 11 - Issue 6     November - December 2019
Pages:
434-438
Download Abstract:
ABSTRACT
 
Objective: To assess safety of Reverse Flow Posterior Interosseous Artery Flap in wrist and hand reconstruction regarding its complications.
Study Design: Descriptive longitudinal study
Place and Duration: Department of Plastic surgery and Burn Centre, Nishtar Medical University, Multan, 1st July 2016 to 30th June 2018.
Methodology: Total 70 patients from both sex were included after taking Informed consent. The reverse flow PIA flap was performed under general anesthesia. The donor site was closed by using a partial thickness graft of skin from thigh.   All patients were discharged after seven days. In next twenty one days patients were followed on weekly basis. At each follow-up, any complications like Flap necrosis, Infection, seroma or hematoma and poor aesthetic outcome of flap and donor site were examined.
Results: In this series out of 70 cases complete flap survival were noted in 84.28% patients, in 1.4% patient there was marginal loss. Partial loss of PIA flaps in 11.4% cases and there was complete PIA flap loss in 2.85% patients. Infection was noted in 7.1% patient, Seroma in 2.85%, hematoma in 4.3%, Congestion in 7.1%. In 7.1% patients there was graft loss; whereas 8.6% developed aesthetic problem (contour irregularity) of the donor-site during the early postoperative period. Rest of 84.3% patients had no donor-site complications.
Conclusion: The Posterior Interosseous Artery (PIA) flap has very few post-operative complications when used for the coverage of the wounds of the wrist and hand.
Keywords: Posterior interosseous artery flap (PIAF), Flap complications, Flap necrosis, Hand/Wrist injuries, Upper limb reconstruction.

How to Cite This:


Mirza AB, Shah IH, Hussain M, Saeed MB, Ali A, Ahmed N. Reverse flow posterior interosseous artery flap: A safe technique for reconstruction of wrist and hand defects.Isra Med J. 2019; 11(6): 434-438.


This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.