Techniques to enable identification and safe elevation of the Posterior interosseous artery flap.

The distally-based, pedicled posterior interosseous artery (PIA) flap can be a useful option for reconstruction of dorsal hand defects, particularly following trauma.1,2 The flap is generally thin and pliable and avoids sacrificing a major vessel supplying the hand. It can be raised as a skin flap, adipofascial variant, or the super-thin fascia-only type.