[An alternative for defect coverage of the dorsal side of the finger with a pedicled flap]

We present a flap to cover defects of the dorsum of the digits with donor site at the midhand. It may be used by leek of the donor sites of established alternatives i.e. cross-finger flap or an island flap. The flap can size up to 8 x 2 cm, its pedicle is formed by the Vasa perforantia distales of the webspace 2-4. It is inset into the primary defect by rotation of 180 degrees and reaches easily defects beyond the PIP joints.