The Anastomosis of the Anterior Interosseous Artery as Vascular Augmentation in Forearm Replantation

Bony non-union and muscle ischaemic contracture are the most frequent late complications of forearm replantation. We report our experience in a case of forearm replantation, where an early restoration of arterial inflow was achieved by the anastomosis of the anterior interosseus artery (A.I.A.) immediately after bone fixation. There was no complication in this case and the functional results were particularly encouraging. The biological and practical advantages of using the A.I.A. for vascular anastomosis are described and discussed.