Journal of Hand and Microsurgery

, Volume 3, Issue 2, pp 66–72 | Cite as

Reversed Posterior Interosseous Flap: Safe and Easy Method for Hand Reconstruction

  • Ahmed Hassan El-SabbaghEmail author
  • Ahmed Abd El-Moaty Zeina
  • Al-Moddather El-Hadidy
  • Ahmed Bahaa El-Din
Review Article


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.


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



The authors do not have any financial interests or commercial associations to disclose.

Supplementary material

Movie 1

hearing of the perforator after setting of the flap. (AVI 7168 kb)


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Copyright information

© Society of the Hand & Microsurgeons of India 2011

Authors and Affiliations

  • Ahmed Hassan El-Sabbagh
    • 1
    Email author
  • Ahmed Abd El-Moaty Zeina
    • 2
  • Al-Moddather El-Hadidy
    • 1
  • Ahmed Bahaa El-Din
    • 1
  1. 1.Plastic surgery unitMansoura University HospitalMansouraEgypt
  2. 2.Student hospitalMansoura UniversityMansouraEgypt

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