The adipofascial turnover flap for elbow coverage.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Orthopedic Surgery

Background:

• Reconstructing soft tissue defects near the elbow with exposed bone or joints presents significant challenges.
• Effective methods are needed to cover these critical areas while preserving joint function.

Observation:

• A novel technique utilizing local adipofascial turnover flaps covered by a skin graft was employed for two elbow defect reconstructions.
• The flap base was positioned 1.5-2.0 cm from the wound edge, with flap-to-base and length-to-width ratios of 3.25 and 3.3, respectively.
• Undermined skin from the flap donor site was preserved, differing from conventional deepithelialized flaps.

Findings:

• The adipofascial turnover flap procedure proved to be a rapid, one-stage solution for elbow soft tissue defects.
• The technique allowed for limited joint immobilization and resulted in inconspicuous donor site scarring.
• The adipofascial component provided adequate padding to protect exposed vital structures without impeding elbow joint motion.

Implications:

• This method is particularly suitable for small to medium-sized, complex elbow wounds.
• The preservation of donor site skin and the flap's design contribute to favorable functional and aesthetic outcomes.
• This approach offers a valuable, minimally invasive option in reconstructive surgery for challenging elbow defects.