Use of Pedicle Groin Flap for Large Defect of Traumatic Hand and Forearm; A Case Report

The groin flap is currently considered one of the main strategies and surgical procedures for flap reconstruction and defect coverage. Traumatic skin defect of forearm and hand with exposed bone or tendon must be covered with a flap. Based on the surgeon preference and condition of the wound and patient, free flap or pedicle flap can be used. However, in a situation that vessels of recipient site have been damaged, use of free flap is contraindicated. We herein report a 27-year-old man with high energy trauma to the right upper extremity with large skin defect and vascular injury. He underwent pedicle groin flap after several times of irrigation and debridement with complete coverage. In the 1-year follow-up, he had favourable functional and cosmetic recovery. The pedicle groin flap can be a versatile and reliable flap to cover large traumatic skin defect with vascular injury.