[Cutaneous repairs of the hand]

Immediate post traumatic skin defects can complicate osteo-articular, tendinous or neurovascular lesions of the hand. Aesthetic and functional repairs permit early rehabilitation. Having to choose between spontaneous heal and microvascular tissue transfer, many pediculated flaps are possible; the size of the wound and an exposure of bone or tendon are the determining factors. Spontaneous healing or skin grafting can be adequate in cases of a superficial wound. Deep wounds with a large exposure shall be covered with flap. A large range of flaps exists: the optimal flap permits adequate coverage with minimal sequellae.