Immediate reconstruction of the wrist and dorsum of the hand with a free osteocutaneous groin flap.

A free osteocutaneous groin flap, based on the deep circumflex iliac artery, was used to primarily fuse the wrist and stabilize the first and second metacarpal bones, as well as provide soft tissue coverage for a severely injured hand. The indications for primary reconstruction with free tissue transfers include a tidy wound with minimal bacterial contamination, ready access to uninjured recipient vessels, and a predictable advantage in the use of free tissue transfer over conventional techniques.