Newly repairing technique of deformed hand by a posterior interosseous flap in an infant: A case report. (June 2022)

• Record Type: Journal Article
• Authors: Shashaa, Mohammad Nour; Swed, Sarya; Albahhah, Tamim; Alloush, Hani
• Is Part Of: International journal of surgery case reports. Volume 95(2022)
• Publication Date: 2022-06
• Subjects: Interosseous flap -- Orthopedics & case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2022.107207
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Introduction: Many non-surgical methods were performed to repair the deformities in the skeletal system to avoid severe complications post-open surgery, especially within the childhood stage or below. We aim, in this case, to present a new technique for repairing bony deformities in the childhood stage, which fewer studies have to instigate its efficacy versus open surgery. Case presentation: We present a 14-months-old infant with wrist extravasation injury at the neonatal stage (day 1), end with a right wrist volar contraction and complete loss of brain homunculus of the right hand. Discussion: We used a reverse posterior interosseous flap to reconstruct the soft tissue and release the flexor tendons of the hand. The flap was conducted entirely and was rapidly adapted to the recipient beds to achieve good color and texture harmonies. Within following up for 12 weeks, the patient restored hand function. Conclusion: More global cohort studies are required to compare precisely the efficacy between surgical options and the used technique in our case for salvaging deformities in childhood. Highlights: Many obstacles face the surgeons in children, especially among orthopedics. Fewer studies have reported newly non-surgical methods due to repairing the bone deformities may cause severe complications among children. This article aims to highlight the utility and versatility of the flap and to show the possibility of using this flap at the age of fewer than two years old group.