A 65 years old male was enjoying his morning tea on a tea stall . Suddenly a tree fallen over the stall. He tried to defend with his forearm. Luckily he didn’t fractured his forearm. But he developed a devolving injury over his left forearm. Wound was around 14 inch long, wide open with visuals of underneath vessels, nerves, fascia and muscles. He got some traditional treatment.

Patient was hypertensive, non-diabetic. Wound was contaminated.

After proper evaluation, he underwent emergency surgery. Surgical toileting, debridement and primary closure was done.

Proper dressing was done regularly and stitch was removed at 14 days. Wound was overall in good condition and the flap survived.