Osteomusculocutaneous free fillet flap including the tumor-free forearm for defect coverage and shoulder contour reconstruction (radiograph taken one week after surgery). The 90° flexed wrist, as well as the carpal and metacarpal bones, were incorporated into the flap to create a shoulder contour that would function as a prosthetic socket. Plate osteosynthesis was used to attach the sternum to the radius.