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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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
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/2642/en_v34n3a20.pdf
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author Rodolfo Costa Lobato
Wellington Menezes Mota
Paulo Tuma
Dimas André Milcheski
Hugo Alberto Nakamoto
Rolf Gemperli
author_facet Rodolfo Costa Lobato
Wellington Menezes Mota
Paulo Tuma
Dimas André Milcheski
Hugo Alberto Nakamoto
Rolf Gemperli
author_sort Rodolfo Costa Lobato
collection DOAJ
description 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.
format Article
id doaj-art-0107378ee4cb425ab82ff2fe0416e587
institution Kabale University
issn 1983-5175
2177-1235
language English
publishDate 2019-09-01
publisher Thieme Revinter Publicações Ltda.
record_format Article
series Revista Brasileira de Cirurgia Plástica
spelling doaj-art-0107378ee4cb425ab82ff2fe0416e5872025-08-20T03:34:17ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-09-01340342342710.5935/2177-1235.2019RBCP0219Reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma: Case reportRodolfo Costa Lobato0Wellington Menezes Mota1Paulo Tuma2Dimas André Milcheski3Hugo Alberto Nakamoto4Rolf Gemperli5Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilIntroduction: 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.http://www.rbcp.org.br/export-pdf/2642/en_v34n3a20.pdfburnsburns by electric currentsurgical flapstechniques for wound closurehand injuries
spellingShingle Rodolfo Costa Lobato
Wellington Menezes Mota
Paulo Tuma
Dimas André Milcheski
Hugo Alberto Nakamoto
Rolf Gemperli
Reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma: Case report
Revista Brasileira de Cirurgia Plástica
burns
burns by electric current
surgical flaps
techniques for wound closure
hand injuries
title Reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma: Case report
title_full Reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma: Case report
title_fullStr Reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma: Case report
title_full_unstemmed Reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma: Case report
title_short Reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma: Case report
title_sort reverse posterior interosseous flap of the forearm for the surgical treatment of electric hand trauma case report
topic burns
burns by electric current
surgical flaps
techniques for wound closure
hand injuries
url http://www.rbcp.org.br/export-pdf/2642/en_v34n3a20.pdf
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