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Figure 1. Right hand suprafascial anterolateral thigh (ALT) coverage with skin graft over radial artery. A patient with dorsal hand degloving and exposed extensor tendon in zones 5, 6, 7 (A) preoperative photograph after debridement; (B) shows a suprafascial ALT to match the defect thickness, allow tendon glide and two-stage tendon reconstruction with the ability to elevate. The ALT pedicle was tunneled in the region of the anatomic snuffbox. The LFCA was anastomosed to the radial artery at the level of the wrist. A small full thickness skin graft was used to cover the anastomosis and came from the dog-ear of the lateral thigh donor; Postoperative photos after tendon reconstruction show restoration of hand function (C) (D) and a low profile skin graft at the wrist