From the dorsal and volar aspect of the proximal stump. (a) From the volar side, the damage to the muscles including the pronator qudratus and avulsion of all the tendons, neurovascular structures, and soft tissue can be appreciated. (b) the dorsal wound showing a similar avulsion injury with few preserved musculotendinous units [inserting above the wrist (brachioradialis)] can be seen. Contamination can be appreciated