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Pedicled radial forearm flaps for recalcitrant defects about the elbow
N B Meland1, C M Clinkscales, M B Wood
1Section of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN 55905.
Microsurgery
|January 1, 1991
Summary
Pedicled radial forearm flaps offer a viable solution for chronic, open elbow wounds, especially when prior reconstructive surgeries have failed. This technique provides effective coverage for challenging recalcitrant elbow defects.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Chronic, open elbow wounds often necessitate flap coverage for successful healing.
- Various reconstructive techniques, including skin grafts and multiple flap types, have been utilized for elbow defects.
Observation:
- Recalcitrant elbow defects present significant challenges, particularly when previous flap reconstructions have failed.
- This study evaluated the efficacy of pedicled radial forearm flaps in complex cases.
Findings:
- Pedicled radial forearm flaps were successfully employed in three patients with recalcitrant elbow defects.
- These patients had previously undergone one or more failed flap reconstructions.
Implications:
- Pedicled radial forearm flaps represent a valuable option for managing complex elbow wounds after prior reconstructive failures.
- This approach expands reconstructive possibilities for upper extremity surgeons dealing with challenging cases.