{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:34:49Z","timestamp":1792175689605,"version":"4.4.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T00:00:00Z","timestamp":1458604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The reverse posterior interosseous artery flap (PIAF) provides soft, thin, and pliable tissue for upper extremity reconstruction without sacrificing any major arteries of the hand. The authors performed a new technique that included one extra distally based subcutaneous vein within the pedicle to diminish venous insufficiency and they aimed to present the results of reconstruction with this technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Twelve patients with a mean age of 30\u00a0years (range 5\u201352\u00a0years) underwent reverse PIAF surgery. The defects were located on the hand and wrist, with a mean area of 57.8\u00a0cm<jats:sup>2<\/jats:sup> (range 20\u201399\u00a0cm<jats:sup>2)<\/jats:sup>. After the skin between the distal edge and the pivot point of the flap was elevated, the most reliable subcutaneous vein was chosen, chased, and included within the flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average size of the PIAF was 6\u00a0\u00d7\u00a05\u00a0cm to 12\u00a0\u00d7\u00a09\u00a0cm (mean area: 64.4\u00a0cm<jats:sup>2<\/jats:sup>) and the median follow\u2010up time was 13\u00a0months (range 4\u201316\u00a0months). The mean quick Disabilities of the Arm, Shoulder and Hand (DASH) score was 21.4, indicating a low degree of disability. Of the 12 patients, ten were very satisfied and two were satisfied with the result of the reconstruction. All but one flap survived completely. One flap was nearly totally lost due to arterial insufficiency after hemodialysis. We observed no venous congestion or insufficiency in the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Subcutaneous veins may be reliable and useful for overcoming major drawbacks associated with reverse flow posterior interosseous artery flap and for diminishing flap loss due to venous insufficiency. \u00a9 2016 Wiley Periodicals, Inc. Microsurgery 36:384\u2013390, 2016.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30048","type":"journal-article","created":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T15:13:19Z","timestamp":1458659599000},"page":"384-390","source":"Crossref","is-referenced-by-count":6,"title":["Distally based subcutaneous veins for venous insufficiency of the reverse posterior interosseous artery flap"],"prefix":"10.1002","volume":"36","author":[{"given":"Burhan","family":"\u00d6zalp","sequence":"first","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery, Dicle University, Medical Faculty Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00fcseyin","family":"Elbey","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery, Dicle University, Medical Faculty Diyarbak\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atakan","family":"Aydin","sequence":"additional","affiliation":[{"name":"Hand Surgery Division Department of Plastic Reconstructive and Aesthetic Surgery \u0130stanbul University, \u0130stanbul Medical Faculty \u0130stanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00fcrker","family":"\u00d6zkan","sequence":"additional","affiliation":[{"name":"Hand Surgery Division Department of Plastic Reconstructive and Aesthetic Surgery \u0130stanbul University, \u0130stanbul Medical Faculty \u0130stanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198410000-00008"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(83)90133-9"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(88)90071-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318295896c"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2013.02.002"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31818cc222"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00014"},{"key":"e_1_2_7_9_1","first-page":"161","article-title":"Colgajo dorsal de antebrazo (en isla) (pediculo de vasos interoseos posteriors)","volume":"54","author":"Zancolli EA","year":"1986","journal-title":"Rev Assoc Arg Ortop Traumatol"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02425069"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(88)90104-X"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(88)90105-1"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.03.010"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.03.010"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.12.031"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199809000-00027"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2006.11.024"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200107000-00005"},{"key":"e_1_2_7_19_1","first-page":"575","article-title":"The DASH questionnaire and score in the evaluation of hand and wrist disorders","volume":"74","author":"Smet L.","year":"2008","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21918"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2005.06.002"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.07.003"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.3.5.674"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.12.018"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.30048","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.30048","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T12:12:38Z","timestamp":1695471158000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,22]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1002\/micr.30048"],"URL":"https:\/\/doi.org\/10.1002\/micr.30048","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,22]]}}}