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Soft-tissue injuries of the hand and wrist regions are quiet common casualty.  Flap coverage is often required to achieve primary wound closure and to achievea good functional result. The use of the reversed flow radial forearm fasciocutaneous flap in the reconstruction of the hand and wrist soft tissue defectshas been described by many authors to be an easy-to-learn and very versatile technique in hand injuries and reconstruction.In this report, the anatomy and vascular basis of the reversed flow radial forearm flap are presented along with the evaluation of its application in twenty patients with different hand and wrist soft tissue defects.

The Reverse-flow Radial Forearm Flap for Soft Tissue Reconstruction of the Wrist and Hand