OBJECTIVETo evaluate a new fasciocutaneous island flap for the repair of volar skin defects of the same finger.

METHODSA fasciocutaneous island flap, 0.5 cm distal to the volar skin defect, was formed on the dorsal side of the same finger. The proximal fascial pedicle was dissected long enough so that the flap could be transposed to the volar wound freely. One dorsal vein was kept undisturbed to safeguard the venous drainage of the distal part of the finger. When the side of the flap was so big that bilateral dorsal veins were included within the flap, the non-pedicle side of the flap was elevated first superior to the fascia until the dorsal vein was excluded from the flap, and the rest of the flap was dissected deep to the fascia. The donor side of the flap was covered with split skin graft.

RESULTSSix cases were treated. All flaps survived well.

CONCLUSIONThe dorsal fasciocutaneous island flap of the finger can be used safely for the repair of volar skin defect of the same finger.