One-stage reconstruction of post-electrical burn forearm and hand defects using microsurgical transfer of an ulnar neuromyotendinocutaneous unit.

Three cases of high-voltage electrical burns of the wrist and forearm were reconstructed, using vascularized ipsilateral ulnar nerve transfers to median-nerve defects. Two of these cases utilized composite ulnar neuromyotendinous flap transfers, with the muscle (flexor carpi ulnaris) bridging the gap between the flexor muscle bellies and tendons. Sensory recovery in the hand was excellent in all three cases.