[The reversed de-epithelialized flap].

The reversed deepithelialized flap was used by Clodius for the lower limb and Pakian was the first to report on the use of this procedure in the hand. In the operation a classical cross-finger is deepithelialized and turned over on to an adjacent finger. The dermal part comes in contact with the exposed structures of the defect to be covered. This technique increases the indications for the cross-finger flap to many cases, where the classical flap is not possible.