Abstract: Anterior inter osseous artery perforator flap is a versatile and reliable flap in covering volar aspect of distal forearm, dorsal surface of hand that are classical defects following electrocution and snake bite cellulitis sequel. Our experience with 5 cases done between 2017 t0 2018 as transposition flap and island flap for defects following electrocution, infection and following trauma, was shared. No prior Doppler study was done to locate the perforator in any case. Perforator was present in all the cases. The planning, ease of dissection, surgical technique, reach of the flap and reliability has been discussed. All the flaps survived well..
Key words: Anterior inter osseous artery perforator flap, post electrical burn defects of the hand and fore arm, dorsal defects of hand, distal island flap of hand
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