HighlightsSplit hand/foot malformation is a rare condition that has many phenotypic and genotypic variations.Isolated bilateral split hand/foot malformation in two siblings, that were born of a consanguineous marriage, with no previous family history of the same condition or other congenital anomalies.History of chemical exposure in the parents during the gulf war.

The radial artery supplies various locoregional flaps used for elbow reconstruction. A reverse lateral arm flap is a reliable choice, despite sacrificing the radial artery in some cases. We describe using a reverse lateral arm flap for elbow soft tissue reconstruction in a patient with a previously harvested radial artery.

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