Case 2. A 29-year-old male sustained an open olecranon fracture of the left elbow. Fixation of the fracture was done resulting in a 60 cm2 soft tissue defect. This was covered with a medial fasciocutaneous transposition flap based on a medial upper arm perforator. The donor site was skin grafted. Recovery was uneventful, and the patient's ROM at the elbow was recorded as 100° 8 months postoperatively ().
Case 3. A 30-year-old male sustained a left elbow fracture with severed brachial artery for which vascular repair of the artery and fixation of the fracture were done. Nine months later he presented with exposure of the implant. He was very thin and had significant heterotopic calcification causing ankylosis of the elbow after injury. Due to the ankylosis and previous brachial artery injury exploration of vessels for free tissue transfer was difficult; therefore lateral abdominal perforator flap was used to cover the defect after implant removal (Figures and ). The coverage required 2 stages and was completed within 3 weeks. Ten months postoperatively his ROM was 70°, which was similar to his preoperative ROM.