Dorsocommissural flap

We present a case of dorsoradial skin loss over the middle phalanx of the m iddle finger with section of the central slip of the extensor tendon and lo ss of one lateral band following mechanical injury. Successful primary reco nstruction of the central slip was performed by retrograde flap from the ce ntral slip of the extensor tendon tied with barb-wire over a padded button, splinted for 2 weeks with a K-wire, and skin cover with a dorsocommissural flap based on the second web space. Other reconstructive options are discu ssed. (C) 1999 The British Association of Plastic Surgeons.