Francisco del Piñal, MD, Francisco J. García-Bernal, MD, Julio Delgado, MD, Javier Regalado, MD, Marcos Sanmartín, MD, David García-Fernández, MD, Santander, Spain

From the Instituto de Cirugía Plástica y de la Mano, Hospital Mutua Montañesa and Clínica Mompía Santander, Spain. J Hand Surg 2005;30A:111–119. Copyright © 2005 by the American Society for Surgery of the Hand

Abstract: Reconstruction of combined finger and soft-tissue defects poses a technical surgical challenge. We present our experience with a hybrid flap: the dorsalis pedis fasciosubcutaneous-toe free flap. In a single stage, this flap solves the problem of medium-sized defects associated with digit losses in the hand. Donor-site morbidity has been minimal.