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Updated: Sep 22, 2025

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Cubital fossa defect- our reconstructive experience with pedicle flaps.

Gaurav Chaturvedi1, Elvino Barreto2,3

  • 1Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bhopal. Department of Burns, Plastic & Reconstructive Surgery Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

Journal of Orthopaedics
|May 19, 2022
PubMed
Summary

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Pedicled flaps effectively reconstruct cubital fossa defects, enabling single-stage closure and early elbow mobilization. This method ensures reliable tissue cover with minimal donor site morbidity for improved functional outcomes.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Orthopedic Surgery

Background:

  • Cubital fossa defects pose challenges due to limited reliable, well-vascularized donor tissue.
  • Effective closure requires pliable tissue for cubital defect coverage and early elbow joint mobilization.

Purpose of the Study:

  • To evaluate the efficacy of pedicled flaps for single-stage reconstruction of cubital fossa defects.
  • To assess functional outcomes and donor site morbidity following flap coverage.

Main Methods:

  • Study included 17 patients with deep cubital region defects unsuitable for primary closure.
  • Flap options included Pedicled Thoracodorsal Artery Perforator (TDAP), Pedicled split Latissimus Dorsi Muscle (SLDM), and reversed lateral arm flaps (RLA).
  • Assessment focused on tissue availability, flap reliability, pliability, elbow function, and donor site morbidity.
Keywords:
Cubital fossa defectReverse lateral arm flapThoracodorsal artery perforator flap

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Main Results:

  • All 17 flaps remained healthy post-operatively.
  • Patients achieved a good range of elbow joint movements.
  • No clinically evident donor site morbidity was observed.

Conclusions:

  • Pedicled flaps provide reliable, pliable, and well-vascularized tissue for cubital fossa defect coverage.
  • Single-stage reconstruction with these flaps facilitates early elbow mobilization and good functional recovery.
  • Careful planning is essential for optimal defect coverage and functional restoration.