title: Forequarter Amputation and Immediate Reconstruction with a Free Extended Humeral-Radial Forearm Flap.
abstract: A forequarter amputation is a radical ablative surgical procedure that includes the entire upper extremity with its shoulder girdle. We present a 53-year-old woman with a solid slow growing tumor in her right shoulder of 15 x 20 cm in diameter. Resection and immediate reconstruction with a free radial forearm flap extended from the distal third of the arm to the midpalmar region, taking the humeral artery and the cephalic vein as a main peddicle. The final outcome is shown at six weeks after the surgery.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Oncology Surgery, Department of Orthopedic Surgery, Mexican Institute of Social Security (IMSS), Monterrey Nuevo León, México; and Department of General Surgery, Hospital Angeles del Pedregal, Mexico DF, México.
authors.forename: Miguel
authors.initials: M
authors.lastname: de la Parra
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Oncology Surgery, Department of Orthopedic Surgery, Mexican Institute of Social Security (IMSS), Monterrey Nuevo León, México; and Department of General Surgery, Hospital Angeles del Pedregal, Mexico DF, México.
authors.forename: Absalon
authors.initials: A
authors.lastname: Espinoza
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Oncology Surgery, Department of Orthopedic Surgery, Mexican Institute of Social Security (IMSS), Monterrey Nuevo León, México; and Department of General Surgery, Hospital Angeles del Pedregal, Mexico DF, México.
authors.forename: Jair
authors.initials: J
authors.lastname: Sanchez
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Oncology Surgery, Department of Orthopedic Surgery, Mexican Institute of Social Security (IMSS), Monterrey Nuevo León, México; and Department of General Surgery, Hospital Angeles del Pedregal, Mexico DF, México.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gonzalez
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Oncology Surgery, Department of Orthopedic Surgery, Mexican Institute of Social Security (IMSS), Monterrey Nuevo León, México; and Department of General Surgery, Hospital Angeles del Pedregal, Mexico DF, México.
authors.forename: Eliseo
authors.initials: E
authors.lastname: Martinez
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Oncology Surgery, Department of Orthopedic Surgery, Mexican Institute of Social Security (IMSS), Monterrey Nuevo León, México; and Department of General Surgery, Hospital Angeles del Pedregal, Mexico DF, México.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Tamez
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Oncology Surgery, Department of Orthopedic Surgery, Mexican Institute of Social Security (IMSS), Monterrey Nuevo León, México; and Department of General Surgery, Hospital Angeles del Pedregal, Mexico DF, México.
authors.forename: Jesus María
authors.initials: JM
authors.lastname: Rangel