The Distally Based Island Posterior-Interosseous Flap - An Experience

Soft tissue reoconstructions of the hand is an exciting challence for reconstructive surgeon. The choice is between using a distant flap, mono or biaxial with or without delays, a free flap with microvascular anastamosis or an Island flap. The advent of local flaps radial and other forearm flaps has solved problem admirably (Song et al, 1982; Biemer and Stock, 1983; Soutar and Tanner, 1984; Foucher et al, 1984). However it does involve sacrifice of a major artery to the hand.