title: [Reconstruction of elbow defect by perforator propeller flap of the brachial region--clinical observation].
abstract: The elbow defects can raise problem to plastic surgeon. Indeed, this region is characterized by thin and mobile tissues; its reconstruction must be long-lasting, resistant to movements, to shear forces and to external support. Perforator propeller flaps beings appear an interesting option in the reconstruction of elbow defects. In this report, we describe a patient having benefited from the excision of a melanoma of the region of the elbow. After multidisciplinary meeting and resection of new margins, a reconstruction by perforator propeller flap was realized. A perforator pedicle of the lateral brachial region was located and used. The postoperative result in term of cover and function was considered very satisfactory. The perforator propeller flaps appear a reliable and interesting solution in the coverage of elbow defect.
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, centre hospitalier universitaire de Lyon, 103 grande rue de la Croix-Rousse, Lyon, France. fabienboucher@orange.fr
authors.forename: F
authors.initials: F
authors.lastname: Boucher
authors.forename: S
authors.initials: S
authors.lastname: La Marca
authors.forename: E
authors.initials: E
authors.lastname: Delay
authors.forename: A
authors.initials: A
authors.lastname: Mojallal
mesh_terms: D000328:Adult; D004550:Elbow / Q000098:blood supply* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008545:Melanoma / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D061525:Perforator Flap / Q000098:blood supply* / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology
keywords: Elbow defects; Lambeau perforant en hélices; Lambeaux perforants; Perforator flaps; Perforator propeller flaps; Perte de substance du coude