[Turbo-propeller flap for elbow reconstruction under regional anesthesia]

Area of Science:

• Orthopedic surgery
• Microsurgery
• Reconstructive surgery

Context:

• Olecranon fractures often result in significant soft tissue defects.
• Reconstruction of these defects presents a surgical challenge.
• Existing methods may have limitations in coverage and vascularity.

Purpose:

• To present a new method for reconstructing extensive soft tissue defects after olecranon fractures.
• To describe the application of a perforator-based retrograde pedicled propeller flap.
• To detail the use of microvascular "turbo"-anastomosis for enhanced flap viability.

Summary:

• A perforator-based retrograde pedicled propeller flap was employed for soft tissue defect reconstruction.
• The flap was harvested from the lateral upper arm.
• Microvascular "turbo"-anastomosis to the radial artery and vein was utilized, with the procedure performed under regional anesthesia.

Impact:

• This technique offers a viable solution for complex soft tissue reconstruction around the elbow.
• The "turbo"-anastomosis potentially improves blood supply and flap survival.
• Regional anesthesia may offer benefits for patient recovery and procedure management.