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In planning a method for covering defects of the palmar surface of the hand or fingers, restoration of function must be kept paramount. Of the three methods in general use, the Thiersch graft is the most popular. As it remains thin and adherent, it is not the method of choice if tendons are exposed. The full thickness (Wolfe or Krause) graft has been used to good advantage by Davis, Kanavel and others, but in the hands of most operators the percentage of "takes" is low. The flap method has been quite generally employed for a long time, taking the graft from another extremity (either arm or leg), or from the abdomen. The greatest objections to such a method are the discomfort to the patient and the period of hospital care required.
The case reported here illustrates a flap method which I have not previously seen and which proved very satisfactory. It does not necessitate hospitalization.
Gatewood. A PLASTIC REPAIR OF FINGER DEFECTS WITHOUT HOSPITALIZATION. JAMA. 1926;87(18):1479. doi:10.1001/jama.1926.92680180002013a
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