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Closure of Persistent, Small, Posterior Elbow Soft Tissue Defects Using a Rotation Flap: A Retrospective Study
Sang-Woo Kang1, Kook-Jong Kim2, Ji-Kang Park1
1Chungbuk National University Hospital, Cheongju, Korea.
Wound Management & Prevention
|April 16, 2020
Summary
Rotation flap surgery is a safe and effective treatment for small posterior elbow defects. This procedure under local anesthesia improved patient outcomes and elbow function, offering a viable solution for trauma-related soft tissue injuries.
Area of Science:
- Orthopedic surgery
- Plastic surgery
- Reconstructive surgery
Background:
- Treating posterior elbow soft tissue defects is challenging.
- Rotation flaps are a potential solution for these defects.
Observation:
- A retrospective study evaluated 30 patients with small (<12 cm2) posterior elbow defects treated with rotation flaps under local anesthesia.
- The study monitored flap survival, complications, range of motion (ROM), and Mayo Elbow Performance Scores (MEPS) for at least 2 years.
Findings:
- Rotation flaps demonstrated a high survival rate (24/30 survived without recurrence).
- Postoperative MEPS significantly improved (56.4 to 90.2, P <.001), indicating better elbow function and pain relief.
- Elbow ROM showed no significant change, but overall function improved.
Implications:
- Rotation flap surgery under local anesthesia is a simple, safe, and effective option for small trauma-related posterior elbow defects.
- Further research is needed to establish evidence-based guidelines for posterior elbow soft tissue defect closure techniques.
