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Brachioradialis Flap for Soft Tissue Coverage of Posterior Elbow Wounds

Case Report and Surgical Technique

Sabbag, Orlando D., MD; DeDeugd, Casey M., MD; Wagner, Eric R., MD; Elhassan, Bassem T., MD

Techniques in Hand & Upper Extremity Surgery: March 2019 - Volume 23 - Issue 1 - p 2–5
doi: 10.1097/BTH.0000000000000209
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The posterior aspect of the elbow is an area prone to chronic wound complications due to its prominence and the tensile forces resulting from elbow range of motion. In situations in which local wound care fails, various options for soft tissue coverage are available, including the anconeus, lateral arm, radial forearm, extensor carpi radialis longus, and flexor carpi ulnaris flaps. Each option offers unique considerations depending on the complexity and extent of the soft tissue defect. In situations in which coverage of a large defect is required, or when primary soft tissue coverage options fail, an alternative option is the brachioradialis rotational muscle flap. We present a review of the literature, case report, and surgical technique using the brachioradialis muscle for coverage of a large posterior elbow wound after failure of an anconeus flap.

Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Bassem T. Elhassan, MD, Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905. E-mail: elhassan.bassem@mayo.edu.

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