Abstract
After radical excision of tumors of the oral cavity involving mucosa and bone, reconstruction with a free osteocutaneous flap gives a very satisfactory functional and cosmetic result. Donor morbidity from the forearm osteocutaneous flap has been well described 1 and includes sensory loss in the first web space (radial nerve), wrist stiffness and swelling, delayed healing and a cosmetic defect of a skin graft on the forearm, cold intolerance, and fracture of the radius. After reports of early postoperative fracture of the radius, it was recommended that the forearm be protected by an above-elbow cast, 2 and also that the osteotomy of the bone should leave a boat-shaped defect in the radius rather than a rectangular one, because cuts made at right angles at each end of the defect leave it more likely to fracture at this site. The following is a report of a case of fracture of a donor radius 1 year after surgery.
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