Amputation stump salvage using a free forearm flap from the amputated part.

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.