The authors present a ten-year series of consecutive one-stage reconst
ructions of defects following excision of malignant disease and of tra
umatic defects, using the radial forearm flap. Of the 155 radial forea
rm flaps performed, 144 were free flaps and 11 were pedicled flaps; 55
of the 144 free flaps were osteofasciocutaneous. Microvascular recons
tructions with this versatile flap had a 98 percent success rate in th
is series.