Abstract
Since Gurdin and Pangman first described the cross-finger flap in 1950, there have been several modifications reported in the reconstructed hand surgery. Rececntly, the adipofascial turnover flap has been developed to provide a vascularized surface for coverage of the wounds with exposed tendon and/or bone. Conceptually derived from the cross-finger flap and the adipofascial turnover flap, our surgical options evolved to combine the advantages of these flaps. We present a dorsal digital adipofascial flap for the repair of complicated fingertip defects. This is a one-stage procedure and the flap is easy and safe to plan, preserving the digital neurovascular bundles and leaving an aesthetically pleasing donor scar. The minor complication that we experienced is the relatively high skin graft failure rate as a result of infection or subgraft hematoma. This versatile local flap can also be used for the soft tissue coverage in any location of the fingers due to its large rotation arc. It allows immediate or early closure of difficult small to medium-sized defects of fingers.
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