Background: The latest advancement and high success rate of microsurgery cannot be denied. Although, free flaps have a pioneering characteristics among the rest of other options described in literatures for dorsal hand reconstruction; it should be emphasized that Selection of the donor site is very important. Anterolateral thigh flap was used in of head and neck, breast and upper and lower extremities reconstruction [1,2]. In this article the application of this flap for the dorsal hand skin coverage is presented. Conclusion: Purportedly, the author found in the robust characteristics of the ALT flap a warrant to be one of the best armaments in the reconstructive options of the hand dorsum.
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