Congenital Absence of Posterior Interosseous Artery: A New Anatomic Variant of the Posterior Interosseous Artery Flap

Soft tissue cover to the hand can be as simple as a skin graft, local, distant flaps to a complex microvascular free flap. Posterior interosseous artery (PIA) flap is a technically demanding robust flap which can be used to cover a wide range of hand and wrist defects. We report a 25-year-old lady w...

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Autores principales: Jerome, Terrence Jose, Shanmugasundaram, Bhuvaneswari, Terrence, Thirumagal Kuppusamy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Plastic Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492133/
https://www.ncbi.nlm.nih.gov/pubmed/32953289
http://dx.doi.org/10.7759/cureus.9771
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author Jerome, Terrence Jose
Shanmugasundaram, Bhuvaneswari
Terrence, Thirumagal Kuppusamy
author_facet Jerome, Terrence Jose
Shanmugasundaram, Bhuvaneswari
Terrence, Thirumagal Kuppusamy
author_sort Jerome, Terrence Jose
collection PubMed
description Soft tissue cover to the hand can be as simple as a skin graft, local, distant flaps to a complex microvascular free flap. Posterior interosseous artery (PIA) flap is a technically demanding robust flap which can be used to cover a wide range of hand and wrist defects. We report a 25-year-old lady who had severe crush injury where the posterior interosseous flap was planned to cover the dorsum of hand defects. On exploration carefully, the PIA was found to be congenitally absent. An alternative groin flap salvaged the procedure and the patient had good aesthetic and functional outcomes at the five years of follow-up.
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spelling pubmed-74921332020-09-17 Congenital Absence of Posterior Interosseous Artery: A New Anatomic Variant of the Posterior Interosseous Artery Flap Jerome, Terrence Jose Shanmugasundaram, Bhuvaneswari Terrence, Thirumagal Kuppusamy Cureus Plastic Surgery Soft tissue cover to the hand can be as simple as a skin graft, local, distant flaps to a complex microvascular free flap. Posterior interosseous artery (PIA) flap is a technically demanding robust flap which can be used to cover a wide range of hand and wrist defects. We report a 25-year-old lady who had severe crush injury where the posterior interosseous flap was planned to cover the dorsum of hand defects. On exploration carefully, the PIA was found to be congenitally absent. An alternative groin flap salvaged the procedure and the patient had good aesthetic and functional outcomes at the five years of follow-up. Cureus 2020-08-15 /pmc/articles/PMC7492133/ /pubmed/32953289 http://dx.doi.org/10.7759/cureus.9771 Text en Copyright © 2020, Jerome et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Plastic Surgery
Jerome, Terrence Jose
Shanmugasundaram, Bhuvaneswari
Terrence, Thirumagal Kuppusamy
Congenital Absence of Posterior Interosseous Artery: A New Anatomic Variant of the Posterior Interosseous Artery Flap
title Congenital Absence of Posterior Interosseous Artery: A New Anatomic Variant of the Posterior Interosseous Artery Flap
title_full Congenital Absence of Posterior Interosseous Artery: A New Anatomic Variant of the Posterior Interosseous Artery Flap
title_fullStr Congenital Absence of Posterior Interosseous Artery: A New Anatomic Variant of the Posterior Interosseous Artery Flap
title_full_unstemmed Congenital Absence of Posterior Interosseous Artery: A New Anatomic Variant of the Posterior Interosseous Artery Flap
title_short Congenital Absence of Posterior Interosseous Artery: A New Anatomic Variant of the Posterior Interosseous Artery Flap
title_sort congenital absence of posterior interosseous artery: a new anatomic variant of the posterior interosseous artery flap
topic Plastic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492133/
https://www.ncbi.nlm.nih.gov/pubmed/32953289
http://dx.doi.org/10.7759/cureus.9771
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