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A difficult wound, with tendon and bone exposition, developed on the dorsum of the forearm in a 76\u2010year\u2010old patient; she had been radiated since almost 50 years and her left hand had also been revascularized twice with venous grafts between the humeral artery and the superficial palmar arch. After failure of a local flap, an anterior\u2010lateral thigh perforator flap was successfully transferred with end\u2010to\u2010side anastomoses on the arterialized venous graft. Up to date follow\u2010up shows a good outcome. The Authors discuss the case and review the indications for microsurgical reconstruction in difficult wounds after radiation and ischemic limb conditions. \u00a9 2009 Wiley\u2010Liss, Inc. Microsurgery, 2009.<\/jats:p>","DOI":"10.1002\/micr.20630","type":"journal-article","created":{"date-parts":[[2009,3,23]],"date-time":"2009-03-23T13:20:21Z","timestamp":1237814421000},"page":"495-498","source":"Crossref","is-referenced-by-count":3,"title":["An anterior\u2010lateral thigh perforator flap on a recipient brachial\u2010radial vein graft for complex wound reconstruction: A case report"],"prefix":"10.1002","volume":"29","author":[{"given":"Marco","family":"Romeo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Cuccia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedetto","family":"Manasseri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Delia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Risitano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Spinelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco Stagno","family":"D'Alcontres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele R.","family":"Colonna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,3,23]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/S0030-5898(20)31815-0","article-title":"The reconstructive ladder. 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