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Local fasciocutaneous flaps for olecranon coverage
D P Orgill1, J J Pribaz, D J Morris
1Harvard/Brigham/Children's Division of Plastic Surgery, Boston, MA.
Annals of Plastic Surgery
|January 1, 1994
Summary
Local fasciocutaneous flaps effectively treat soft-tissue defects around the olecranon process. This method offers stable, long-term wound coverage using regional tissue with minimal donor site issues.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Soft-tissue defects around the olecranon process are challenging complications of bursitis, degenerative joint disease, burns, and pressure necrosis.
- Various flap options exist, but fasciocutaneous flaps offer single-stage reconstruction using regional tissue.
Purpose of the Study:
- To evaluate the efficacy and outcomes of local fasciocutaneous flaps for treating soft-tissue defects of the olecranon process.
Main Methods:
- A retrospective review of 10 patients treated with 11 local fasciocutaneous flaps for olecranon soft-tissue defects.
- Flaps were categorized as proximally or distally based, utilizing regional arterial supply.
Main Results:
- All 11 fasciocutaneous flaps survived, achieving primary wound closure.
- Complications were minimal, including one case of recurrent ulceration and one transient posterior interosseous nerve neuropraxia.
Conclusions:
- Local fasciocutaneous flaps provide reliable, long-term coverage for olecranon wounds.
- This reconstructive technique uses readily available regional tissue with acceptable donor site morbidity.