Immediate forearm reconstruction with a functional latissimus dorsi island pedicle myocutaneous flap

Immediate forearm reconstruction with a functional latissimus dorsi island pedicle myocutaneous flap was performed following a shotgun injury to the left forearm. The procedure provided excellent coverage of the defect and eliminated the need for multiple procedures and the immobilization required for groin or abdominal pedicle flaps. In addition, the latissimus muscle provided active flexion of the wrist and limited finger flexion.