Functional and aesthetic reconstruction of a dorsal digital skin defect with a sensory neurotized DMCA III flap.

The dorsal metacarpal artery (DMCA) flap is an elegant way to reconstruct tissue defects. We present a 25-year-old female patient with a dorsal injury on the fourth digit, which was reconstructed with a third webspace DMCA flap which was neurorrhaphied with a branch of the ulnar nerve, to regain sensation.