Management of complex wounds of. 1,2 durable soft tissue reconstruction is required for exposure of bones,. Soft tissue defects surrounding the elbow require reconstruction with thin, pliable, and durable tissue, which can withstand and allow for repetitive flexion and extension.
Metal radial head replacements are increasing being used for primary fracture treatment and in posttraumatic elbow reconstructive surgery. Elbow defects may result from traumatic injuries, oncologic resection, or prior surgical intervention. Inadequate reconstruction of elbow soft tissue defects can severely limit functional outcomes by restricting motion and impairing upper extremity function.
Microvascular free flap reconstruction is a safe and effective method of providing definitive soft tissue coverage of elbow defects, as evidenced by high rates of limb salvage. In our practice, we would perform an acute ligament repair and/or reconstruction if there was persistent elbow instability or joint incongruity after a closed reduction, if there were significant. Twelve months after the last surgery, the patient was referred to our hospital and, after thorough consideration of the therapeutic options, we decided to perform left elbow. Ideal tissues for reconstruction are.
Ideal tissues for reconstruction are. Multiple reconstructive options are available, but there are few published outcome studies.