Preliminary report: the distally pedicled dorsoulnar forearm flap for handreconstruction

In this paper, a new flap for the coverage of soft tissue defects in the ha nd is described. To obtain a distally pedicled dorsoulnar flap, the dissect ion of the standard dorsoulnar flap is continued distally under the descend ing branch of the dorsal branch of the ulnar artery onto the dorsum of the wrist after the dorsal branch of the ulnar artery is ligated and divided. O ur modification of the standard dorsoulnar flap converts this flap to a dis tally based flap, which provides a potentially longer pedicle and increases the are of rotation of the flap. Two successful cases are reported.