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(a) The defect of the dorsum of the hand in a 67 years old woman. (b) Flap dimensions are designed according to the size of the defect. (c) Skin incision. (d) Exposure of adipofascial tissue. (e) Dissection of the vascular pedicle. (f) Dissection precedes the radial styloid. (g) Flap adaptation on the defect area. (h) Graft adaptation over the flap.
