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The reverse lateral arm adipofascial flap for elbow coverage
1Division of Plastic and Reconstructive Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical College, Taiwan.
Annals of Plastic Surgery
|August 1, 1997
Summary
The reverse lateral arm adipofascial flap offers a successful, single-stage solution for reconstructing elbow defects. This technique provides good cosmetic outcomes and avoids joint immobilization.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Cubital fossa defects and exposed olecranon pose significant reconstructive challenges.
- Previous methods may involve prolonged immobilization or sacrifice of vital structures.
Observation:
- Two patients with severe elbow defects (avulsion injury, recurrent bursitis) were treated.
- A reverse lateral arm adipofascial flap, nourished by the posterior radial collateral artery, was utilized.
Findings:
- The adipofascial flap, covered with a skin graft, successfully reconstructed both defects.
- The flap's thickness was tailored, allowing primary closure of the donor site without tension.
- Key advantages included tailored flap thickness, primary donor site closure, and preservation of major arteries and muscles.
Implications:
- This technique offers a versatile, one-stage reconstructive option for complex elbow injuries.
- It achieves satisfactory cosmetic results while minimizing functional deficits and patient recovery time.