Fig. 3.

a 70-year-old woman with complete sectioning of median nerve, ulnar nerve, all flexor tendons, and radial/ulnar artery in the distal forearm/wrist after suicide attempt with multiple slash injuries. The patient had been lying in her apartment for 24 h with this injury. b Reconstruction of all structures at the wrist. Median nerve reconstruction with sural nerve interposition grafts. c Harvesting of a free lateral arm flap. d Immediate postoperative result in the operation room. e Result 3 days postoperative; the flap is perfused. The patient has been moved to a psychiatric facility. A postoperative tendon rehabilitation program was planned