Fig. 1.

a–b 46-year-old patient with an elsewhere implanted wrist prosthesis and joint malalignment with functional impairment. The patient is suffering from rheumatoid arthritis. c–d Explantation of the wrist implant and total wrist fusion with a plate. e Postoperative wound healing disorder over the extensor tendons and arthrodesis implant. f Debridement dorsally at the wrist with exposed important structures. g Harvested free lateral arm flap. h–i Postoperative result 2 years after flap transplantation (end-to-side anastomosis to radial artery, end-to-end anastomosis to concomitant veins of radial artery). The patient is contented with the scar in the donor site