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The lateral forearm flap (LFF), a fasciocutaneous flap of a slender nature, has a donor site that can be primarily closed. A retrospective analysis was performed on the relationship between donor site morbidity and hand function in patients who had undergone either a radial forearm flap (RFF), an ulnar artery perforator flap (UAPF), or latissimus dorsi flap (LDF). Radiographic analysis of flap thickness was performed on 50 control patients. In a cohort