Local transposition of a distally-based island forearm flap to close a complicated excisional wrist defect in a nonagenarian: some anatomical and clinical considerations.
A distally based island forearm flap was used in a 93-year-old patient to reconstruct a dorsal forearm defect following tumour resection. Augmentation of the venous out-flow using a microvascular venous anastomosis was required. The expediency and safety with which this island flap can be used is emphasized with a cautionary note on venous drainage.
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006801:Humans; D008722:Methods; D011183:Postoperative Complications / Q000601:surgery; D013524:Surgical Flaps; D014953:Wrist / Q000601:surgery*