A 61-year-old man sustained a left olecranon avulsion fracture after he tripped and fell, landing on his left elbow. His repair was complicated by staphylococcus aureus wound infection requiring removal of hardware, debridement and negative pressure wound therapy. A free ALT perforator flap based on the oblique branch of the lateral circumflex femoral artery was used for soft tissue coverage once the infection was cleared. Two months after coverage active elbow flexion is 140° (range, 0° to 140°) ().
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 ().