ABSTRACT
A. Soft tissue coverage for appropriate hand injuries can be achieved in a number of ways: primary repair, healing by secondary intention, skin grafting, or flap coverage.
B. Flap coverage of a defect is indicated most often to reconstruct complex wounds with extensive tissue loss, when there are exposed vital structures (bone, tendon, nerve, or blood vessel) to which skin grafts would either fail to adhere or lead to significant scarring and decreased function.
