Economical use of the "groin" flap: then and now

It is uncommon to be able to use the same flap to resurface a defect of the hand and another extremity of the body. Two cases are presented. In one, the hand and neck and in the other, the hand and foot were resurfaced from the same flap. In the former a tubed pedicle flap was used and in the latter, part of a groin flap was transferred as a free flap.