Figure 3: Operative steps: (a) marking and designing the flap over the fourth DMAP for coverage of post-traumatic skin and soft-tissue defect with exposed extensor tendon on the dorsum of the left little finger of a male patient of 34 years old. (b) Incision of the lateral border of the flap first to identify the correct plane for flap elevation. (c) Complete flap elevation based solely on the DMAP. (d) Flap inset and anchoring to the defect with primary closure of the donor area and good vascularity seen. (e) Flap 2 months later with good esthetic and functional outcome. DMAP, dorsal metacarpal artery perforator.