(A) Excised malignant fibrous histiocytoma requiring resection of soft tissue including the periosteum of the radial bone segment. Margins were negative and defined as wide [8, 9]. (B) Pedicled latissimus dorsi muscle flap prepared for functional muscle transfer: its humeral attachment and thoracodorsal neurovascular bundle were preserved. (C) The distal part of the flap was attached with through-and-through sutures to the proximal radial bone cortex and skin grafted for external coverage. Subsequent flap fixation to the bone (the site of musculodesis is marked by the arrow) allowed its use as a neo-elbow extending unit.