Soft-Tissue Coverage for Elbow Trauma - 21/10/15

Doi : 10.1016/j.hcl.2015.06.013

Brian P. Kelley, MD ^a, Kevin C. Chung, MD, MS ^b,^⁎
^a Section of Plastic Surgery, The University of Michigan Health System, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA
^b Section of Plastic Surgery, The University of Michigan Medical School, The University of Michigan Health System, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA

^∗Corresponding author.

Resumen

The elbow is particularly prone to trauma, and soft-tissue reconstruction can be challenging given the inherent motion, pressure, and lack of local tissue laxity. Small wounds and those without exposure of vital structures may be amenable to primary repair. Large wounds and those requiring more substantial structural or anatomic repair may require local, regional or free flap-based reconstruction. A comprehensive review of soft-tissue reconstruction of the elbow is provided to offer surgeons alternative options in complicated upper extremity wounds.

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Keywords : Elbow, Soft tissue, Reconstruction, Trauma, Wounds

Esquema

Key points

Background

Principles of reconstruction

Wound location

Primary, delayed primary, or secondary closure

Skin grafting

Local random pattern flaps

Axial pattern fasciocutaneous flaps

Pedicle muscle or myocutaneous flaps

Two-stage axial fasciocutaneous flaps

Free tissue transfer

Summary

Research reported in this publication was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under Award Number 2 K24-AR053120-06. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.