Abstract
Defects of a proximal digit after Mohs micrographic surgery can present a challenge for repair. If the wound cannot be left to heal by secondary intention or closed primarily, options for closure typically include a full thickness skin graft or cross-finger flap. Full-thickness skin grafts, however, require a vascularized wound bed and should not be placed over exposed tendon or bone without peritenon or periosteum; in addition, grafts have a greater degree of wound contracture and do not replace subcutaneous volume loss in the area.
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