[Mammoplasty as preparatory step to elbow arthroplasty for complete ankylosis of the elbow: a case report].
A 45-year old polytraumatized female patient presented with an ankylosed elbow two years after a traffic accident. A skin graft adherent to the proximal radius was painful and precluded any attempt at total elbow arthroplasty. Local muscular, cutaneous and vascular sequelae contraindicated the usual local regional flaps or made risky elbow coverage with free flaps. The patient's breast hypertrophy, an obstacle to a random-pattern flap on the torso, offered enough tissue to cover the injured elbow with an axial-pattern flap of the left breast lower-outer quadrant. Six months later the patient had a total elbow arthroplasty with pain suppression and improvement of the range of motion.
Dagrégorio
G
G
Service de chirurgie plastique, reconstructrice et chirurgie de la main, CHU de Poitiers, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France. verone4@wanadoo.fr
Saint-Cast
Y
Y
D000844:Ankylosis / Q000209:etiology / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods*; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008875:Middle Aged; D011300:Preoperative Care; D013524:Surgical Flaps; D000092464:Elbow Injuries