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Reconstruction of a dorsal thumb defect following a purulent extensor tendon synovitis with subsequent soft tissue defect with a pedicled dorsal interosseous artery perforator flap. (A) Unstable primary closure after initial debridement of the extensor tendon. (B) Preoperative flap designed. (C) Postoperative resulting. (D) Long-term result after >6 months.
