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Soft tissue defects of hand should be carefully evaluated to determine the most appropriate alternative for coverage. Thirteen patients with soft tissue loss on dorsum of the hand were managed by reversed septo fascial Posterior Interosseous Artery (PIA) forearm flap. The largest size of the defect was 120x50 cm all the flaps survived. The donor site was closed primarily. The flaps contoured well to the recipient site and had good cohesion and color match. The reversed posterior interosseousdoi:10.13188/2334-2846.1000045 fatcat:ffvtewdvj5actfkapsbj4gnsgi