Fig. 3.

Case 2. a–d Female, 50 years old, with an open fracture of the right distal radius (Gustilo IIIB) caused by machine strangulation. She was treated with emergency debridement, external fixation, and tendon and vascular repair. The bone defect was filled with bone cement. e–g Seventy-two hours later, a free anterolateral femoral flap was performed to cover the wound while the radius was internally fixed. h–k Two months after surgery, the cement was removed and replaced with autologous iliac bone. i Two years after stage II of the MT, with bone healing. m–r Last follow-up, with satisfactory function. QuickDASH: 9.1