The distally based posterior interosseous artery flap is routinely used for covering soft tissue defects on the hand. However problems in dissecting the flap can arise due to an inconstant vascular anatomy. A case is described where it was not possible to employ a distally based posterior interosseous artery flap because of the absence of the posterior interosseous vascular axis and an unusually high bifurcation of the brachial artery. The preoperative Doppler investigation showed only a positive retrograde blood flow in the area of the distal anastomosis to the anterior interosseous artery. After the arteriogram, the defect was finally closed with a free lateral arm flap. The authors point out that a complete Doppler investigation by a skilled investigator is necessary to detect unexpected vascular variations and to accurately indicate the patients on whom one should perform a preoperative angiogram.
European Journal of Plastic Surgery – Springer Journals
Published: Dec 15, 2000
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
All the latest content is available, no embargo periods.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud