Abstract
Upper extremity amputations are not as common as lower extremity amputations, but they present unique challenges to the surgeon, prosthetist and amputee. The tissues of amputated or non-salvageable limbs may be used to reconstruct complex defects resulting from tumour removal or trauma, i.e. the 'spare parts' concept. The use of a free fillet flap to treat massive trauma of the upper extremity is reported here for two cases. These patients were treated with a pedicled fillet of whole forearm flaps to achieve primary stump closure and to preserve upper arm length.
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