case_images: PMC10446794_01
case_images: Pre-radial forearm flap soft tissue defect.
case_images: ICRP_A_2249092_F0001_C.jpg
case_images: PMC10446794_01_ICRP_A_2249092_F0001_C.jpg
case_images: F0001
case_images: 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).
case_images: 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
case_images: ICRP_A_2249092_F0002_C.jpg
case_images: PMC10446794_01_ICRP_A_2249092_F0002_C.jpg
case_images: F0002
case_images: The incision over the recipient's anterior tibial artery was closed with interrupted, simple 3-0 Monocryl sutures (Figure 2).
case_images: Right lower extremity 4-months postoperatively after flap salvage procedure.
case_images: ICRP_A_2249092_F0003_C.jpg
case_images: PMC10446794_01_ICRP_A_2249092_F0003_C.jpg
case_images: F0003
case_images: Split-thickness skin grafting was performed on postoperative day 28 with a complete skin graft take (Figure 3).
case_images: Right lower extremity 12-months postoperatively after flap salvage procedure.
case_images: ICRP_A_2249092_F0004_C.jpg
case_images: PMC10446794_01_ICRP_A_2249092_F0004_C.jpg
case_images: F0004
case_images: At one-year follow-up, the flap remains healthy and viable, and the split-thickness skin graft is well healed (Figure 4).