Pedicled latissimus dorsi transfer for immediate soft-tissue coverage and elbow flexion

This case report describes a new method of unipolar transfer of the latissimus dorsi for restoration of elbow flexion. The advantages of the technique are that it has superior resting tension compared to other unipolar transfers and provides more extensive soft-tissue coverage at the elbow than other unipolar or bipolar transfers. The disadvantage is that it does not restore the supinator function of the biceps. The technique is felt suitable for traumatic defects requiring extensive soft-tissue coverage as well as restoration of an active elbow flexor.