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Wounds of the hands and fingers are a com-mon challenge for most hand surgeons, and frequently, the wounds are complex and extensive. Larger soft-tissue defects of the fin-gers and hands are generally reconstructed by ped-icled or free flaps.1–3 Gao et al4 described a trilobar combined flap based on the circumflex scapular vessels to cover an extensive defect of the palm and volar aspect of the fingers. Stahl et al5 reported the reconstruction of complex hand trauma using an iliac crest bone graft and 2 pedicled fasciocutaneous skin flaps. Recently, Wang et al6 and Yang et al7 re-ported the reconstruction of hand defects with the free medial sural artery perforator flaps and antero-lateral leg perforator flaps, respectively. These ideas are good in theory, but the flap donor sites are far from the hand. There are possible reconstructive op-tions that could be undertaken in the upper limb