Reliability and Versatility of Posterior Interosseous Artery Flap in Reconstructing Hand Soft Tissue Defects.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hand Injuries
- Sponsor
- Sohag University
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- Functional and aesthetic outcomes of posterior interosseous artery flap
- Last Updated
- 3 years ago
Overview
Brief Summary
Evaluation of distally based posterior interosseous artery flap in reconstructing hand soft tissue defects that may result from trauma, extensive burns, tumor resection or congenital deformities.
Investigators
Ahmed Talaat Ahmed
Principal investigator
Sohag University
Eligibility Criteria
Inclusion Criteria
- •Patients with complex defects over the dorsal and palmar aspect of the wrist and the hand up to the proximal interphalangeal joint level, the whole thumb, and the first web space.
- •Small to moderate hand defects resulting from post-traumatic raw areas, post-traumatic deformities, postburn deformities and scar, post tumor resection, and congenital hand deformity.
- •Availability of a healthy donor site.
Exclusion Criteria
- •Patients with a major uncontrollable medical illness.
- •Chronic heavy smokers.
- •Traumatic injury to the donor site.
- •Complex defects of the hand beyond the PIP joint level.
Outcomes
Primary Outcomes
Functional and aesthetic outcomes of posterior interosseous artery flap
Time Frame: 5 months from the end of treatment
All patients will be evaluated with objective (functional) and subjective (aesthetic) criteria. Hand functionality will be evaluated using the disability of the arm, shoulder, and hand (DASH) score. The DASH score comprises 30 questions, and the score ranges from 30 points, for no limitation, to 150 points, for maximum limitation. The outcomes will be aesthetically reviewed with scar assessment measured as being good, fair, and poor. This assessment is subjective. Donor site problems are identified as cold intolerance, numbness, and pain. These will be evaluated as being either present in the patient or non-existent.