Reverse Flow Posterior Interosseous Flap for the Reconstruction of Soft Tissue Defects in Electrocuted Wrist

Objective: To describe experience with the reverse flow posterior interosseous island flap for reconstruction of mutilating eclectically injured wrist. Study Design: Prospective case series study Place and duration: Department of Plastic Surgery and Burn Unit Nishtar Hospital, Multan from June 2005 to June 2010 Materials and Methods: 25 Posterior Interosseous Artery Flaps in 22 patients, as in 3 patients PIA flap was done bilaterally, for the coverage of wrist defects secondary to electrocution. After resuscitation and multiple debridements when wound was ready and patients were stable Posterior Interosseous Artery Flaps were done. Results: The flaps survived in all patients with a marginal loss over the distal edge of the flap was noted in one patient. Regarding the donor site morbidity only one case had partial STSG loss. Conclusion posterior interosseous flap is a versatile, reliable and a very useful regional tool for the coverage of electrocuted wrist defects.