The reverse posterior interosseous flap and its composite flap: experience with 201 flaps.

Objective: To introduce our experiences of using the reverse posterior interosseous flap and its composite flap.

Methods: In the series of 201 cases, the fasciocutaneous flap was used to cover skin defects over the distal 1/3rd forearm, wrist and hand in 174 cases. The composite flap with the vascularised ulna bone graft was used to reconstruct the thumbs in 11 cases, and with the vascularised tendon graft was used to repair tendon defects with skin defects in 16 cases.