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.
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.