Adipofascial, Transposition, and Rotation Flaps

Soft tissue loss over the dorsum of the finger could potentially expose critical structures like extensor tendon, bone, and joint. These exposed structures often require flap coverage. Local flap is one of the available options to cover most small-sized defects on the dorsum of fingers. One of the primary requisites for any flap used on the dorsum of the finger, especially over a joint, is to enable the full range of motion of the finger. Even though skin over the dorsum of the fingers can be pinched easily in extension, with full flexion such suppleness is not demonstrated.