TechniquesThe Thenar Crease Skin Graft: A Novel Addition to “Camouflage” Grafts of the HandKang, Yong Chiang MBBS, MRCS (Edin), FAMS (Hand Surgery); Chin, Yuan Hui Andrew MBBS, MMed (Surg), FRCS, FAMS (Hand Surgery)Author Information Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Yong Chiang Kang, MBBS, MRCS (Edin), FAMS (Hand Surgery), Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, 1 Outram Road, Singapore 169608. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: June 2020 - Volume 24 - Issue 2 - p 85-88 doi: 10.1097/BTH.0000000000000269 Buy Metrics Abstract Palmar skin defects of the hand are common. When wound conditions are favorable, glabrous skin grafting provides ideal resurfacing—simple, predictable, and excellent esthetic outcome. Glabrous skin grafts are however confined to small sizes from limited donor sites. We present a novel technique of harvesting full-thickness skin grafts from the thenar crease and report the outcome of our cases. We provide further insights to adapt the technique to a variety of clinical scenarios—degloving injuries and shaving injuries of the finger including subcomplete pulp skin loss. Graft size is up to 75 mm by 10 mm, with tension-free donor site closure. We further report the operative experience, functional and esthetic outcome. The technique is fast, versatile, and provides large surface areas of good quality glabrous skin in a single-stage procedure. It will sit well in the armamentarium of the hand surgeon. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.