Omental grafting in fore arm

A 45 years old female patient was admitted with extensive fore arm injury after a road side accident. There was loss of skin and muscles of the flexor compartment. Most of the flexor muscles were lost leaving the bones necked. Only a few muscles were left in the extensor compartment but the skin was totally lost. The skin on the dorsum of the hand was also lost. The remaining tendons were left necked. The finger tips were pale and cold. After 48 hours the finger rips became black. The greater omentum was mobilised through a mini lap to cover the extensive raw area to provide coverage to the bones and tendons and to bring nutrition to the ischaemic hand