Gomez, MMCasal, D2012-01-252012-01-252011Eur J Plast Surg 2011; 34 (3): 211-213http://hdl.handle.net/10400.17/563Cover of medium and large defects of the dorsum of the hand remains a substantial surgical challenge that often requires free tissue transfer. We report the case of a 28-year-old male who presented with necrosis of most of the dorsum of his dominant hand after an iatrogenic injury. A large Becker flap was raised to cover the entire defect. However, venous insufficiency was noted intraoperatively. The flap was turbocharged by performing a venous anastomosis between the flap and the recipient site, resulting in complete survival of the flap. The authors conclude that the turbocharged Becker flap can be a good alternative for expeditiously covering large defects of the dorsum of the hand without having to resort to free tissue transfer.engRetalho de BeckerRetalho da Artéria UlnodorsalRetalho FasciocutâneoDefeitos da MãoAnastomose VenosaHSJ CPRHCCjournal article