Refinements in the surgical technique to harvest distally based posterior interosseous artery flap
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Distally based posterior interosseous artery (PIA) flap is a very useful flap for defects on hand. Dissection of flap is not easy unless certain anatomical landmarks are identified and preserved throughout the dissection. We suggest here few refinements which not only improve reliability of flap but also may reduce operative time. We start with an incision in the distal forearm on ulnar border of the flap. This ensures rapid and accurate identification of the septum. Similarly, we describe other modifications such as design of skin paddle, identification of communicating branch, transfer of flap among others
Authors and Affiliations
Dr Rohit Munot
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