The application of the rotation flap to the dorsum of the hand.

We have described the application of the rotation flap to the dorsum of the hand. This has proved useful for closing certain defects on the dorsum of the hand. The flap is designed as a rotation flap and the secondary defect is then closed by advancement using the laxity at the dorsal wrist crease. We have reported on 10 cases. These adhere to the principle of repairing like with like and yield results which are both aesthetically and functionally excellent. The preservation of the axial elements of the flap theoretically makes it more robust and more resistant to infection.