Use of cortical screws for bony fixation is a well known phenomenon but use of same screws for softtissue fixation is a new concept. A case of necrotising fascitis of scalp was treated with repeated debridement and local flaps. In this case we had no difficulty in covering the wound as flaps were preoperatively planned but insetting tough oedematous flaps was difficult, hence we used cortical screws for fixation and they served the purpose well.

Keywords: Cortical screws; scalp reconstruction,rotation flaps; screws.