PMC10446794_01
Pre-radial forearm flap soft tissue defect.
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The patient had a defect in her lower lateral leg and ankle measuring 12 cm by 5 cm with exposed peroneal tendons and anterior tibia and talus with minimal overlying periosteum and joint capsule (Figure 1).
Right lower extremity wound appearance after radial forearm free flap. The proximal and distal portions of the defect were approximated with 4-0 Nylon sutures in a horizontal mattress fashion. The flap was inset with interrupted, simple 3-0 Monocryl sutures. The incision over the recipient anterior tibial artery was closed with interrupted, simple 3-0 Monocryl sutures. Nylon suture in the free flap marks the site at which doppler monitoring was performed over the flap postoperatively.EI
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The incision over the recipient's anterior tibial artery was closed with interrupted, simple 3-0 Monocryl sutures (Figure 2).
Right lower extremity 4-months postoperatively after flap salvage procedure.
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Split-thickness skin grafting was performed on postoperative day 28 with a complete skin graft take (Figure 3).
Right lower extremity 12-months postoperatively after flap salvage procedure.
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At one-year follow-up, the flap remains healthy and viable, and the split-thickness skin graft is well healed (Figure 4).