A combination of degloving injury of the fingers and mutilation of other fingers with skin defect may be treated urgently with a combination of arterialised pedicle flaps from the forearm and distant axial pattern flap. This combination is an alternative to the combination of posterior interosseous and lateral arm flap. Application of flaps urgently in emergencies does not increase risk of complications and shortens hospitalisation time. In this article we present the case of a 26-year-old male who sustained a serious injury of the right hand. The patient underwent urgent skin defect reconstruction performed by posterior interosseous and hypogastric flap combination. Although it is not usual to make a combination of flaps urgently, the final outcome is satisfactory. The authors wish to point out that radical primary reconstructive procedures give equivalent outcome to delayed reconstruction.

        Key words: posterior interosseous flap, hypogastric flap, degloving hand injury, flap combination