Using bipedicle abdominal flap to save left forearm and armfollowing a high-voltage electric burn

  Background: Electrical injury is daily compromise of our life and upper and lower extremities   are common sites of injury .   Case Presentation: A 23 years old man who had suffered high voltage electrical injury referred   to our center. He had severe left upper extremity burn and suffered from head and thoracic   injuries due to falling down from high altitude.   Treatment: Fasciotomy of the left forearm was done. Muscle damageand myoglobinuria were   managed. Early reconstruction was performedfor prevention of tendons and nerve necrosis.   Because of circumferential burning of the left forearm, bipedicle abdominal flap at the skinof left   lower thorax and the abdomen was done. Stillskin necrosis of the flap at the lateral epicondyle   area of the bipedicle abdominal flap occurred. Latissimusdorsi muscle pedicle flap was used   for coverage of the lateral epicondyle area.   Learned Lessons: Local flap is an important complication of the bi-pedicle abdominal flap.