Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 61, Issue 5 , Pages 546-551 , May 2008

A safe and simple technique using the distal pedicled reversed upper arm flap to cover large elbow defects

  • L. Prantl

      Affiliations

    • Department of Plastic Surgery, University Hospital, Regensburg, Germany
    • Corresponding Author InformationCorresponding author. Address: Department of Plastic Surgery, University of Regensburg, Franz-Josef-Strauß-Allee 11, DE-93042 Regensburg, Germany. Tel.: +499419446947; fax: +499419446805.
    • ,
  • S. Schreml

      Affiliations

    • Department of Plastic Surgery, University Hospital, Regensburg, Germany
    • ,
  • H. Schwarze

      Affiliations

    • Department of Plastic Surgery, University Hospital, Regensburg, Germany
    • ,
  • M. Eisenmann-Klein

      Affiliations

    • Department of Plastic Surgery, University Hospital, Regensburg, Germany
    • ,
  • M. Nerlich

      Affiliations

    • Department of Trauma Surgery, University Hospital, Regensburg, Germany
    • ,
  • P. Angele

      Affiliations

    • Department of Trauma Surgery, University Hospital, Regensburg, Germany
    • ,
  • M. Jung

      Affiliations

    • Department of Radiology, University Hospital, Regensburg, Germany
    • ,
  • B. Füchtmeier

      Affiliations

    • Department of Trauma Surgery, University Hospital, Regensburg, Germany

Received 21 July 2006 ,Accepted 22 May 2007.

References 

  1. Rubayi S, Kiyono Y. Flap surgery to cover olecranon pressure ulcers in spinal cord injury patients. Plast Reconstr Surg. 2001;107:1473–1481
  2. Sherman R. Soft-tissue coverage for the elbow. Hand Clin. 1997;13:291–302
  3. Stevanovic M, Sharpe F, Itamura JM. Treatment of soft tissue problems about the elbow. Clin Orthop Relat Res. 2000;370:127–137
  4. Türegün M, Nisanci M, Duman H, et al. Versatility of the reverse lateral arm flap in the treatment of post-burn antecubital contractures. Burns. 2005;31:212–216
  5. Hayashi A, Maruyama Y, Saze M, et al. Ulnar recurrent adipofascial flap for reconstruction of massive defects around the elbow and forearm. Br J Plast Surg. 2004;57:632–637
  6. Hayashi A, Maruyama Y. Anatomical study of the recurrent flaps of the upper arm. Br J Plast Surg. 1990;43:300–306
  7. Song R, Song Y, Yu Y, et al. The upper arm free flap. Clin Plast Surg. 1982;9:27–35
  8. Culbertson JH, Mutimer K. The reverse lateral upper arm flap for elbow coverage. Ann Plast Surg. 1987;18:62–68
  9. Tung TC, Wang KC, Fang CM, et al. Reverse pedicled lateral arm flap for reconstruction of posterior soft-tissue defects of the elbow. Ann Plast Surg. 1997;38:635–641
  10. Bhattacharya S, Bhagia SP, Bhatnagar SK, et al. The medial upper arm fasciocutaneous flap. An alternative flap to cover palmar defects of hand and distal forearm. J Hand Surg [Br]. 1991;16:342–345
  11. Maruyama Y, Onishi K, Iwahira Y. The ulnar recurrent fasciocutaneous island flap: reverse medial arm flap. Plast Reconstr Surg. 1987;97:381–388
  12. Bishop AT. Soft tissue loss about the elbow. Selecting optimal coverage. Hand Clin. 1994;10:531–542
  13. Meland NB, Clinkscales CM, Wood MB. Pedicled radial forearm flaps for recalcitrant defects about the elbow. Microsurgery. 1991;12:155–159
  14. Hodgkinson DJ, Shepherd GH. Muscle musculocutaneous and fasciocutaneous flaps in forearm reconstruction. Ann Plast Surg. 1983;10:400–407
  15. Hamdi M, Van Landuyt K, Monstrey S, et al. A clinical experience with perforator flaps in the coverage of extensive defects of the upper extremity. Plast Reconstr Surg. 2004;113:1175–1183
  16. Mordick TG, Britton EN, Brantigan C. Pedicled latissimus dorsi transfer for immediate soft tissue coverage and elbow flexion. Plast Reconstr Surg. 1996;99:1742–1744
  17. Rohrich RJ, Ingram AE. Brachioradialis muscle flap: clinical anatomy and use in soft-tissue reconstruction of the elbow. Ann Plast Surg. 1995;35:70–76
  18. Stern PJ, Neale HW, Gregory RO, et al. Latissimus dorsi musculocutaneous flap for elbow flexion. J Hand Surg (Am). 1982;7:25–30
  19. Daltrey I, Thomson H, Hussien M, et al. Randomized clinical trial of the effect of quilting latissimus dorsi flap donor site on seroma formation. Br J Surg. 2006;93:825–830

PII: S1748-6815(07)00294-X

doi: 10.1016/j.bjps.2007.05.015

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 61, Issue 5 , Pages 546-551 , May 2008

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