Abstract
Traditionally the pedicled latissimus dorsi muscle flap has been the workhorse flap for large elbow defects. Other options include the pedicled radial forearm flap and the reverse lateral arm flap, which can also be raised as a perforator-based radial collateral artery perforator (RCAP) flap. More recently, freestyle perforator flaps have broadened the options for soft tissue reconstruction. 1 Lecours C. Saint-Cyr M. Wong C. et al. Freestyle pedicle perforator flaps: clinical results and vascular anatomy. Plast Reconstr Surg. 2010; 126: 1589-1603 Crossref PubMed Scopus (101) Google Scholar We describe a case of a free-style perforator flap for elbow reconstruction based on the capillary perforators arising from the vasa nervorum of the ulnar nerve.
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