Gaurav Chaturvedi
CMC Vellore, India
Posters & Accepted Abstracts: Surgery Curr Res
Background: Cubital fossa wound can be complicated by non-availability of reliable, well-vascularized donor tissue. Closure with pliable and readily available donor tissue for cubital defect and early mobilization of the elbow joint is essential for better results. The authors did this study to see how best results of elbow defect cover can be achieved without compromising the donor areas. Methods: Patients with deep elbow wounds in some of which vital structures were exposed in the cubital region were included in this study. Coverage was done by various types of flaps, the harvesting technique of which are already well described by their respective authors. Results: A total of 10 cases of cubital region defect are presented wherein closure with locally available donor tissue was not feasible. Five cases of traumatic cubical defects associated with brachial artery injury and 5 cases of severe post-burn contractures of elbow complicated by hypertrophic scarring of the surrounding skin are included in this. Study: Of the 10 cases 5 were covered with Pedicled Thoracodorsal Artery Perforator flaps, 2 with Pedicled split Latissimus Dorsi Muscle flaps and 3 with reversed lateral arm flaps. Conclusion: Cubital fossa defect coverage needs dedicated planning to obtain sturdy tissue for cover. In the presence of local tissue damage or scarring, we have looked elsewhere to bring pliable and well-vascularized tissue which is reliable. The flaps we used have allowed single stage reconstruction and early mobilization of the elbow joint.
E-mail: drgauravchaturvedi2012@gmail.com
