Hands or digits with denuded bone and tendon have traditionally required local, regional or free tissue reconstruction with a compromise in function, aesthetics and donor site complications. Alternatively affected digits may have been terminalised with loss of critical length but the benefit of more rapid wound healing times. NovoSorb Biodegradable Temporising Matrix (BTM) offers the enticing intermediate option of maintaining hand function, digit length and aesthetic resurfacing of hand and digit wounds without many of the drawbacks of vascularised soft tissue reconstruction. Select case reports or short series (six patients or fewer) have been published on the use of NovoSorb BTM in upper limb wounds with positive outcomes. However, these reports have predominantly focused on the resurfacing and healing of larger cutaneous wounds of the arm and forearm rather than maintaining hand function. Furthermore, there has been no studies directly examining the outcomes of NovoSorb BTM to maintain digit length. We present a series of 11 cases of hand and finger injuries with NovoSorb BTM used to maintain digit length, or resurface volar or dorsal hand defects, with medium-term (<12 month) and long-term (>12 month) follow up. We provide a pictorial review, discuss alternate reconstructive options (with their relative benefits and drawbacks), and present the clinical, aesthetic and functional outcomes of these cases.