This study presented the long-necked reading man flap, a modified advancement flap designed for reconstructing distal dorsal finger defects. The technique provided reliable soft tissue coverage with preservation of nail bed and joint function, offering an alternative to skin grafting in this challenging anatomic location.

The long-necked reading man flap is a reliable option for distal dorsal finger reconstruction that preserves nail and joint function.

Local flap reconstruction of finger defects can provide superior functional and cosmetic outcomes compared to skin grafting.