Multiple plasty lesions of the hand do not always allow for both a one-time reconstruction and early mobilization. In situations involving several bone and / or septic segments, it is not always possible to Compacted bone microvascularized flaps in emergency. The management of these lesions imposes a rigorous sequence in the reconstruction schedule. Bone stabilization occupies an essential place and constitutes the first stage of reconstruction. We present a case of reconstruction by an induced membrane technique, A loss of complex substance of the hand.ObservationA patient aged 26 years, right-handed, with no previous history, was addressed for complex lesions of the dorsal aspect of the right hand, following a work accident with a jointer.