The subcutaneous overturned skin flap in continuity according to the "double door" technique

Loss of skin substance with exposure of the bone may be repaired with adjacent or distal flaps, pedunculated or free. For the more distal areas of the limbs it is difficult to find adjacent flaps which do not leave considerable defects at the donor site. To overcome this and also to avoid lengthy major surgery, the author has developed the overturned subcutaneous or fascial flap, raised by using the "double door" method prepared like Colson greffe flaps. The subcutaneous flap may be axiated or random and is covered with a mesh-graft while the "double doors" are sutured to close the donor site. The method is described and the first cases are presented.