title: Rotation flap to cover a large defect on the dorsum of the hand.
abstract: The unique requirements of soft tissue coverage of the hand offer a challenge for the surgeon dealing with such defects. Local excision of such lesions may end in a defect that is not amenable to primary closure. Management of such defects requires the application of a graft or flap. We describe the application of a rotation flap for closure of a large defect on the dorsum of the hand following excision of a keratoacanthoma. The rotation flap offers repair with local skin of similar colour, texture and thickness. The end results were excellent both functionally and cosmetically.
authors.affiliation: Department of Surgery, Sligo Regional Hospital, Sligo, Co Sligo, Ireland ahmedaziz293@gmail.com.
authors.forename: Ahmed M
authors.initials: AM
authors.lastname: Al Maksoud
authors.affiliation: Department of Surgery, Sligo Regional Hospital, Sligo, Co Sligo, Ireland.
authors.forename: Iftikhar
authors.initials: I
authors.lastname: Ahmed