Fasciocutaneous flap coverage for periolecranon defects

Academic Article


  • Soft tissue defects in the periolecranon region are difficult to manage by standard techniques such as closure by approximation, split-thickness skin grafting, or healing by secondary intention. We employed cadaver injections and dissections to study the vascular anatomy of the periolecranon region in search of a suitable local flap for coverage of periolecranon defects. This report details our experience in 31 patients with a one-stage technique for elbow coverage employing a proximally based forearm fasciocutaneous flap. Surgical techniques and clinical applications are discussed; a satisfactory long-term outcome is documented in 30 of 31 patients. The advantages of using this model fasciocutaneous flap include enhanced vascularity, sensibility, and ease of elevation.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Bunkis J; Ryu RK; Walton RL; Epstein LI; Vasconez LO
  • Start Page

  • 361
  • End Page

  • 370
  • Volume

  • 14
  • Issue

  • 4