PURPOSE The reverse posterior interosseous artery flap has several advantages, not sacrificing any major blood vessel, but its relatively short pedicle limits the use to cover defects up to the metacarpophalangeal joint. Our purpose is to demonstrate that the ligature of the anterior interosseous artery (AIA), proximal to the communicating branch with the posterior interosseous artery, leads to...

Objective: To highlight the problems associated with harvesting and insetting of reverse Posterior Interosseous Artery (PIA) flap and their solutions. Study Design: Descriptive case series. Place and Duration of Study: The study was conducted at Combined Military Hospital Rawalpindi from January 2013 to July 2015. Material and Methods: Thirty one patients of both sexes with hand defects seconda...

PURPOSE Functional reconstruction of mutilating hand injuries poses a challenge to the surgeon. We present our experience with use of multiple composite tissue flaps transplant for functional reconstruction of hand in patients with mutilating hand injuries. The associated merits and demerits of these surgical approaches are briefly discussed. METHODS From August 2004 to October 2014, function...

We successfully transplanted two free posterior interosseous artery perforator flaps that had been harvested simultaneously from a single posterior interosseous artery system to the index and middle fingers of a 19-year-old man. Our case suggests that multiple free perforator flaps can be prepared from a single posterior interosseous artery system.