ABSTRACT
The use of the arterialized venous flap with a palmaris longus tendon transfer has previously been reported. Further trials of this technique were conducted in four patients to reconstruct complicated finger injuries involving loss of skin and extensor tendon. In contrast to the results of previous cases, those of recent cases are more encouraging. This technique may be the procedure of choice in patients with digital skin defects, where there are associated extensor tendon defects with exposed bone.