Successful reconstruction of a high-pressure injection injury of the hand using a first web flap of the foot.

High-pressure injection injury to the hand often results in loss of tissue and hand function. The successful reconstruction of a hand following high-pressure injection injury is reported. A free neurovascular flap was transferred from the first web space of the foot to cover a skin defect in the first web space area of the hand. The digital nerves of the thumb and index finger were repaired using sural nerve grafts.