Abstract
Surgical treatment of traumatic and chronic hand defects is specific in that in addition to simply covering the defect with viable tissue, the maximum possible hand function should be ensured. There is a number of reconstruction procedures, from simple ones to the most complex ones.
As one of the suitable possibilities of covering hand defects, the authors present the reverse flap based on the posterior interosseal artery. The authors evaluate the advantages and disadvantages of this reconstruction method, possible risks and complications, and practical recommendations for its practical use and illustrate key facts in two case reports.
Based on their examples, the authors demonstrate that the reverse flap based on the posterior interosseal artery represents a full-scale reconstruction method with a wide range of indications, especially for covering the defects of the dorsum of the hand and the proximal phalanx of the fingers, defects of thumb, web spaces and proximal palmar defects. Knowing how to use this flap and how to practically do it, despite a slightly higher technical difficulty, should be part of the armamentarium of every specialist who deals with hand trauma and hand reconstruction.