Reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma: Case report

Introduction: Lesions affecting the hands with significant skin loss often require flaps for early coverage, as these permit faster healing. Among the various options, the reverse posterior interosseous flap of the forearm is most commonly used for defects involving the back of the hand and wrist du...

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Bibliographic Details
Main Authors: Rodolfo Costa Lobato, Wellington Menezes Mota, Paulo Tuma, Dimas André Milcheski, Hugo Alberto Nakamoto, Rolf Gemperli
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2019-09-01
Series:Revista Brasileira de Cirurgia Plástica
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Online Access:http://www.rbcp.org.br/export-pdf/2642/en_v34n3a20.pdf
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Summary:Introduction: Lesions affecting the hands with significant skin loss often require flaps for early coverage, as these permit faster healing. Among the various options, the reverse posterior interosseous flap of the forearm is most commonly used for defects involving the back of the hand and wrist due to low complication rates. Normally, this flap is not used for the reconstruction of defects in the palmar region since its distal reach is insufficient. Case report: We present the case of a male patient with third-degree electrical burns on his right palm, whose reconstruction was performed on the 14th day postinjury using the reverse posterior interosseous flap of the forearm after conservative debridement. The patient presented good postoperative evolution, without long-term complications or functional sequelae. Conclusion: The reverse posterior interosseous flap of the forearm permits adequate coverage of palm injuries, preserving its functionality.
ISSN:1983-5175
2177-1235