Background: Reconstructing defect is the goal of the plastic surgeon which is done on the principle of reconstruction ladder but certain defect needs coverage requiring improvising on the principles, once such is crane principle. In this study, we would like to highlight the use of crane principle in reconstructing defect of hand and protecting vital structures. Methods: 18 year male with full thickness defect of a volar and dorsal aspect of wrist post electrical burn injury underwent flap cover for the defect. Results: Marginal necrosis of flap noted, flap debrided, healthy wound bed noted. Conclusion: Covering of defect employing crane principle though described in earlier days is still relevant in the management of defect with limited donor site.

Keywords: Crane principle; Defect; Hand