Clinical application of a free flap supplied by the osteocutaneous branch of the anterior interosseous artery.

Hand Surg Rehabil

Department of Hand Surgery, The Second Hospital of Tangshan, No 21, Jianshe Road, Tangshan City, Hebei Province, 063000, PR China.

Published: April 2024


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Article Abstract

Objectives: To explore the clinical application and efficacy of transplantation of free composite flaps supplied by radial osteocutaneous branch of the dorsal branch of the anterior interosseous artery for reconstructing bone and skin defects in the hand.

Material And Methods: Anatomically, the radial osteocutaneous branch of the dorsal branch of the anterior interosseous artery has constant collateral anastomoses which can provide a large dorsoradial flap from the dorsum of the forearm. This flap was used for reconstruction in five cases of cutaneous and phalangeal defects.

Results: Reconstruction was successful in all five cases, with consolidated phalanx and good cosmetic results. All donor sites could be closed directly.

Conclusion: Reconstruction with dorsoradial forearm flaps is a reliable procedure which causes minimal trauma. Thus, it is an ideal approach for repairing cutaneous and phalangeal defects.

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http://dx.doi.org/10.1016/j.hansur.2024.101679DOI Listing

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Article Synopsis
  • The study aims to investigate the effectiveness of using flaps from a specific artery for hand bone and skin defect reconstruction.
  • The radial osteocutaneous flap was utilized successfully in five cases, resulting in solid healing and good aesthetics.
  • The findings suggest that this reconstruction method is reliable and minimally invasive, making it a suitable option for such injuries.*
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