Results of treatment of 13 patients with extensive defects of soft tissues in the upper extremities treated with pedicled radial forearm flaps are presented (11 fascio-cutaneous flaps and 2 adiposo-cutaneous). The group included 5 females and 8 males aged 9-85 years (mean age: 37 years). The defects followed trauma in 12 cases and in one case it was the result of oncological resection. The flap was used as a primary procedure in 4 cases after amputation of the finger or degloving of the hand. The flap appeared very useful in delayed reconstructions in older patients with extensive defects of soft tissues and bones, especially in the elbow region. Complete survival of all flaps with very good late results were obtained. Donor sites were covered with skin grafts and healed correctly in 11 patients. In two patients healing of the donor site prolonged in time for over 6 weeks. No other complications were observed using this method.