Extensive trauma to the upper limb resulting in complex bony fractures and soft-tissue loss usually necessitates extensive freeflap reconstruction to achieve one-stage wound coverage and a satisfactory contour. However, trauma may induce thrombosis of recipient vessels, which may result in failure of the free flap. A groin flap can be used as a salvage flap; the use of groin flaps is usually restricted to soft-tissue coverage of the hand and distal forearm. In this report, we describe an abdominohypogastric flap that was used as a salvage flap for proximal forearm and elbow coverage in two patients in whom free-flap reconstruction was unsuccessful.