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The reverse lateral upper arm flap for elbow coverage.

J H Culbertson, K Mutimer

Annals of Plastic Surgery

|January 1, 1987

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The reverse lateral upper arm flap offers a viable method for closing elbow soft tissue defects. This fasciocutaneous flap, perfused retrogradely, provides a single-stage solution with manageable donor site morbidity.

Area of Science:

Plastic Surgery
Reconstructive Surgery
Anatomy

Background:

Soft tissue defects around the elbow present a reconstructive challenge.
Various surgical techniques have been employed for elbow defect closure.
The reverse lateral upper arm flap is a novel approach based on existing principles.

Observation:

Cadaver studies elucidated the cutaneous territory and vascular supply of the upper arm.
The posterior recurrent radial artery and its perforators enable retrograde perfusion of the flap.
The flap's suitability for covering diverse elbow soft tissue defects was assessed.

Findings:

The reverse lateral upper arm flap can be reliably raised and perfused retrogradely.
This fasciocutaneous flap effectively covered an 8 x 11 cm acute cubital defect post-release.

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The technique allows for single-stage reconstruction with acceptable donor site outcomes.

Implications:

This flap provides a valuable option for complex elbow soft tissue reconstruction.
The retrograde perfusion technique enhances reconstructive versatility.
Further application of this flap may improve patient outcomes in elbow defect repair.