Reversed posterior interosseous flap: safe and easy method for hand reconstruction
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Updated: May 16, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
Ahmed Hassan El-Sabbagh1, Ahmed Abd El-Moaty Zeina, Al-Moddather El-Hadidy
1Plastic surgery unit, Mansoura University Hospital, Mansoura, Egypt.
Unlabelled:
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.
Electronic Supplementary Material:
The online version of this article (doi:10.1007/s12593-011-0042-y) contains supplementary material, which is available to authorized users.