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Related Concept Videos

Bones of the Upper Limb: Humerus01:19

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Related Experiment Video

Updated: Feb 22, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Bipedicle Flaps for Posterior Elbow Reconstruction.

Kyle J Chepla1, Shirley Shue, Bram R Kafuman

  • 1*MetroHealth Medical Center †Case Western Reserve University School of Medicine, Cleveland, OH.

Techniques in Hand & Upper Extremity Surgery
|September 28, 2017
PubMed
Summary
This summary is machine-generated.

Bipedicle advancement flaps provide a reliable solution for reconstructing posterior elbow soft tissue defects. This technique offers stable coverage with minimal donor site morbidity, preserving elbow function.

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Area of Science:

  • Orthopedic surgery
  • Plastic surgery
  • Wound reconstruction

Background:

  • Chronic posterior elbow defects necessitate reconstruction due to exposed triceps tendon and ulna.
  • Current reconstruction methods involve muscle sacrifice or microsurgery.
  • Limited options exist for small to medium posterior elbow soft tissue defects.

Purpose of the Study:

  • To evaluate patient and surgical outcomes of bipedicle advancement flaps for posterior elbow reconstruction.
  • To assess the efficacy of this technique for defects <50 cm².
  • To determine the reliability and complication rates of bipedicle flaps in this region.

Main Methods:

  • Retrospective chart review of 3 patients undergoing posterior elbow reconstruction with bipedicle flaps.
  • Analysis of defect etiology (infected olecranon bursitis, exposed olecranon plate).
  • Inclusion of patients with comorbidities like diabetes, CREST syndrome, and rheumatoid arthritis.

Main Results:

  • Mean patient age was 44 years; mean defect size was 39.3 cm² post-debridement.
  • All patients received culture-directed antibiotics; no surgical complications or flap loss occurred.
  • Complete donor site reepithelialization by 8 weeks and stable elbow coverage achieved with full range of motion.

Conclusions:

  • Bipedicle advancement flaps offer a simple, reliable method for posterior elbow soft tissue coverage.
  • This technique effectively utilizes local tissue for primary closure, minimizing donor site morbidity.
  • The procedure ensures stable coverage and functional recovery for posterior elbow defects.