gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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The distally based and free microvascular interosseous anterior flap in the treatment of hand injuries. Our experience

Meeting Abstract

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  • presenting/speaker Elmar Fritsche - Klinik für Hand- und Plastische Chirurgie, Luzern, Switzerland
  • Elvira Bodmer - Klinik für Hand- und Plastische Chirurgie, Luzern, Switzerland
  • Urs Hug - Klinik für Hand- und Plastische Chirurgie, Luzern, Switzerland

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-429

doi: 10.3205/19ifssh0890, urn:nbn:de:0183-19ifssh08905

Veröffentlicht: 6. Februar 2020

© 2020 Fritsche et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: In contrast to the distally based and free interosseous posterior flap the interosseous anterior flap is not very often used. We strongly believe, that this flap should be more often be considered as an ideal flap in the treatment of hand -and especially of finger injuries. The anatomical basis is very constant and the harvesting of the flap, pedicled or free, is easy and straight forward.

Methods: We used the interosseous anterior flap in its pedicled and microvascular variant in 12 cases of hand -and finger injuries. The free microvascular flap was used in 3 cases as a throgh-flow flap for revascularization and soft tissue reconstruction. In the literature we find hardly no description of the interosseous anterior flap in clinical use for this purpose.We want to show the exact anatomical basis and our clinical experience with this flap.

Results and Conclusions: 11 of our 12 interosseous anterior flaps survived completely. In 1 case we lost one distally pedicled flap. In one case the revascularisation of a thumb was not succesful but the flap survived and could be used for covering the amputation stump. We believe that this flap has many advantages and is ideal for revascularisation of severely damaged fingers. This flap is our first joice for harvesting a through-flow flap for finger revascularisation and should be used more often than in the literature mentioned so far.