# “Reconstruction of segmental defect of flexor tendons of the wrist and hand using extensor digitorum longus”

## TL;DR

A 30-year-old man with severe forearm injuries was successfully reconstructed using the extensor digitorum longus tendon, showing its effectiveness and low risk.

## Contribution

Demonstrates the use of the extensor digitorum longus for complex tendon reconstruction with minimal donor site issues.

## Key findings

- The entire extensor digitorum longus tendon was successfully used for multi-level forearm reconstruction.
- Combination with nerve and vein grafts and an ALT flap improved functional outcomes.
- The procedure resulted in minimal donor site morbidity.

## Abstract

Plastic and hand surgeons rely on traditional tendon grafts, but severe bilateral multi-level trauma may render these unusable. We report a 30-year-old man with extensive forearm loss reconstructed using the entire extensor digitorum longus tendon, nerve and vein grafts, and an ALT flap, demonstrating EDL’s versatility and minimal donor morbidity.