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 4. A 35-year-old male sustained loss of anterior elbow soft tissue in a workplace accident. This exposed underlying tendons, vessels, and nerves. The large defect was resurfaced with a free ALT fasciocutaneous flap with a cuff of vastus lateralis muscle (). In 12 months postoperatively, the patient has excellent contour and 110° ROM.