Abstract
Dear Sir, Numerous methods have been described for the coverage of dorsal digital soft tissue loss, although many carry significant disadvantages. Cross-finger flaps require uninjured adjacent digits; pedicled flaps can resurface multiple digits but carry the same disadvantage of inhibiting mobility and encouraging joint stiffness before undergoing further surgery for secondary division. Ipsilateral pedicled flaps, such as the distally based radial forearm flap, contribute significant donor site morbidity, and free flaps have technical and logistical considerations. We find the thin pliable tissue provided by fascial flaps invaluable in the reconstruction of complex digital injuries [1]. We present three cases of complex hand trauma and our experience of the homodigital subcutaneous turnover flap in providing dorsal digital soft tissue coverage.
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