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Kovar et al. Plast Aesthet Res 2019;6:10 I http://dx.doi.org/10.20517/2347-9264.2019.09 Page 7 of 9

A C

B D

Figure 1. Right hand suprafascial anterolateral thigh (ALT) coverage with skin graft over radial artery. A patient with dorsal hand degloving
and exposed extensor tendon in zones 5, 6, 7 (A) preoperative photograph after debridement; (B) shows a suprafascial ALT to match
the defect thickness, allow tendon glide and two-stage tendon reconstruction with the ability to elevate. The ALT pedicle was tunneled
in the region of the anatomic snuffbox. The LFCA was anastomosed to the radial artery at the level of the wrist. A small full thickness
skin graft was used to cover the anastomosis and came from the dog-ear of the lateral thigh donor; Postoperative photos after tendon
reconstruction show restoration of hand function (C) (D) and a low profile skin graft at the wrist

B

A

C D

Figure 2. Exposed hardware and fibular non-union - radial forearm flap with dorsalis pedis skin graftA patient with (A) exposed hardware
over a fibula fracture at ankle mortis; (B) after exposure of the dorsalis pedis artery, venae comitants and saphenous vein; (C) showing
the vascular anastomosis of a single artery end-side, two venae comitants of the radial artery system to dorsalis pedis and cephalic to
saphenous anastomosis; (D) this created a bulky vascular group ultimately covered with a split thickness skin graft. The small 3 cm x 1 cm
skin graft donor site was closed primarily