Reconstructions of dorsal digital finger injuries with or without tendon defect often cause serious difficulties for surgeons as they also affect the extensor mechanism. Although local, regional, or free flaps may be used in the reconstruction of these defects, the results may not always be satisfactory. Various flaps have been described in the literature that can be used in such injuries. [1-5] Although various flaps have been defined for adequate coverage of dorsal finger defects, these flaps may not result in cosmetic and functional satisfaction due to volume mismatch. [6] In order to minimize the problems of the donor finger, the opposite cross finger is defined as the second, third, fourth, and fifth fingers. It is a good alternative to close defects on the side of the middle and distal phalanx. This method, which is not difficult for the surgeon, may be our first choice to treat such defects [1,7,8] Therefore, in this study, we aimed to evaluate the surgical and clinical outcomes of reversed crossfinger subcutaneous flaps applied to patients with dorsal digital defects. Objectives: This study aims to evaluate the surgical and clinical outcomes of reversed cross-finger subcutaneous flaps applied to patients with dorsal digital defects. Patients and methods: Between January 2015 and September 2018, 25 (22 males, 3 females; mean age 35.6±11.6 years; range, 19 to 65 years) out of 27 patients under prospective follow-up with finger dorsal digital defect were retrospectively screened and included in the study. The data, obtained by the same two surgeons at six months postoperatively in patients who had undergone reversed cross-finger subcutaneous flaps surgery, concerned cold intolerance, a static two-point separation test, and functional results using range of motion (ROM) and Quick Disabilities of the Arm, Shoulder and Hand (DASH) scoring. Results: The majority of the patients presented with occupational injury (64%), most commonly to the dominant hand (76%) and the fourth finger (36%) most frequently. Seven patients with extensor tendon defects underwent reconstruction with a palmaris longus autograft. At the six-week postoperative follow-up, all flaps were live, the donor site had no morbidity, and no additional intervention was performed. There was no statistically significant difference in finger joint ROM (p>0.05). Cold intolerance was observed in 14 patients (56%). The mean dynamic two-point distinction was 6.0±0.7 mm and the QuickDASH score was 22.3±5.0. Conclusion: Due to reasons such as minimal donor site morbidity, satisfactory functional finger outcomes, and easy applicability, reversed cross-finger subcutaneous flap is a good option for reconstruction of defects in the dorsal aspect of the finger with or without extensor mechanism defects.