Tendinocutaneous free flap transfer to cover an extensive skin-tendon defect of the dorsum of the hand: case report.

The combined loss of skin and tendons after avulsion or degloving injuries continues to be a challenging problem. A 51-year-old man sustained an extensive avulsion injury of the dorsal hand. He underwent reconstruction with a vascularized tendinocutaneous free flap transfer from the dorsum of the foot and was followed for over a year. The functional and aesthetic results were satisfactory.