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J Hand Microsurg. 2011 Dec;3(2):66-72. doi: 10.1007/s12593-011-0042-y. Epub 2011 May 6.

Reversed posterior interosseous flap: safe and easy method for hand reconstruction.

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Plastic surgery unit, Mansoura University Hospital, Mansoura, Egypt.


Complex hand trauma presents multifaceted problems for the surgeon. Soft tissue defects of the upper extremity must be carefully assessed to determine the most appropriate method of coverage of hand. In this article, the reversed posterior interosseous flap was used for coverage of the hand. The injured areas include: dorsum of the hand (10 cases), the wrist (3 cases) and the dorsal thumb (2 cases). All flaps survived completely and none exhibited venous compromise. All donor sites were skin grafted. The reversed posterior interosseous flap is a versatile option for coverage of moderate sized defects of the hand and is specifically indicated for coverage of injuries of the wrist, dorsal hand and dorsal thumb.


The online version of this article (doi:10.1007/s12593-011-0042-y) contains supplementary material, which is available to authorized users.


Dorsum of hand; Hand injuries; Reversed posterior interosseous flap; Wrist and thumb

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