Extended Abdominal Pedicled Flap Using a Modified Abdominoplasty Incision for Reconstruction of an Extensive Forearm Defect.

Extensive upper extremity traumatic defects are challenging to reconstruct. Regional flaps are often too small or have pedicles in the zone of injury. Free microvascular flaps are not ideal options in the presence of extensive vascular injuries and in patients who cannot tolerate long procedures. We present a case featuring an extended abdominal flap using abdominoplasty-like incisions that facilitated simultaneous abdominoplasty and soft tissue coverage of an extensive, traumatic defect of the forearm and hand in a patient who was not a candidate for free flap.