Document Detail


The reverse lateral arm adipofascial flap for elbow coverage.
MedLine Citation:
PMID:  9262777     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The reverse lateral arm adipofascial flap covered immediately with a skin graft has been used successfully for reconstruction of a cubital fossa defect (caused by avulsion injury) and an exposed olecranon (resulting from recurrent bursitis) in 2 patients. The flap is nourished by the septal perforators of the posterior radial collateral artery, which in turn obtains its blood supply from the interosseous recurrent artery. The distal vascular pedicle should contain a sufficient amount of subcutaneous fat and its underlying fascia to enhance the arterial input and the venous drainage of the flap. The primary benefit of this technique is that the thickness of the flap can be tailored to fit into the defect, and the donor site can be closed primarily without tension. The advantages include satisfactory cosmetic results, a rapid one-stage procedure, no sacrifice of the main artery or local muscle, and avoidance of any long-term immobilization of the involved elbow joint.
Authors:
C S Lai; C C Tsai; K B Liao; S D Lin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  39     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-10-10     Completed Date:  1997-10-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  196-200     Citation Subset:  IM    
Affiliation:
Division of Plastic and Reconstructive Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical College, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bursitis / surgery*
Elbow / injuries*,  surgery
Female
Follow-Up Studies
Humans
Male
Middle Aged
Postoperative Complications / surgery*
Range of Motion, Articular / physiology
Soft Tissue Injuries / surgery*
Surgical Flaps / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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