Extensive complex tissue defects of leg and foot are difficult to manage and often result in amputation. Various techniques are used for reconstruction of defects including bone grafting with fasciocutaneous flaps to composite free flaps to avoid amputation. Free osteocutaneous radial forearm flap (FOCRFF) is reliable option with vascularised bone, predictible long pedicle and large soft tissue. We present two cases treated succusfully who has complex tibia defect and has first metatars defect with dorsal and volar soft tissue loss of the forefoot due to bomb explosion injury.
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