Fingertip reconstruction with a posterior interosseous artery perforator flap: a minimally invasive procedure for donor and recipient sites

Publication date: Available online 14 December 2016
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Satoshi Usami, Mutsumi Okazaki
BackgroundA posterior interosseous artery perforator flap is used for small defects, leaving no functional disturbance at the flap donor site. The purpose of this report is to describe our experience with the transfer of this flap for fingertip defects and the evaluation of postoperative function.MethodsEleven flaps were used for 13 fingertip reconstructions in 11 patients. Two patients had two finger defects covered simultaneously with one bridge flap, and five flaps were harvested in true perforator flap style.ResultsOver the mean follow-up of 10.6 months, static and moving two-point discrimination were 8.8 and 6.1 mm, respectively, and patients returned to work approximately 2 months after surgery. There were no complications at the donor sites.ConclusionsA posterior interosseous artery perforator flap was a useful choice for fingertip reconstruction, with good sensory recovery and no donor site morbidity, and the patients were able to return to daily living quickly.



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