Aim: Hand injuries can present complicated challenges and require specific treatments for individual tissue defects. This study aimed to describe the outcomes and dependability of pedicled groin flaps in repairing complex hand injuries.

Method: This retrospective study which was conducted between December 2022 and July 2024, included 16 patients with various hand injuries who received pedicled groin flaps for the treatment of hand injuries and who had a suitable recipient vessel for microsurgery, and were older than 18 years of age. Patient demographics, injury aetiologies, flap details, and postoperative outcomes were reported. Mean follow-up period was 6 months.

Results: The mean age was 39.5 years, and 81.25% of them were male. Trauma, burns, and tumors were among the underlying causes. All subjects, maintained flap survival and full covering of the soft tissue. A mean flap size of 6.06 cm x 4.81 cm was reported. There was only one patient who experienced partial flap necrosis, which healed secondarily. In 37.5% of patients, donor site closure was accomplished by primary closure; in other patients, partial-thickness skin grafting was necessary.

Conclusion: This study suggests that the pedicled groin flap is still a superior therapy for complex hand injuries and remains a practical choice especially for facilities without access to microsurgical technology or experience. Despite certain drawbacks, the groin flap is a useful technique in upper extremity reconstruction due to its simplicity of harvesting, low donor site morbidity, and capacity to give appropriate soft tissue coverage.

Keywords: complicated tissue defects, hand injury, groin flap