Case 1. An 80-year-old female with multiple comorbidities including ischemic heart disease and chronic renal failure developed an ulcerating squamous cell carcinoma of her right elbow measuring 7 × 5 cm. Radiological studies showed no bony or joint involvement. The resultant wide excision included the skin, subcutaneous tissue, and underlying muscle, with a defect size of 75 cm2 exposing the elbow joint capsule and ulnar nerve. To avoid prolonged operative time, the defect was covered with pedicled FCR and FCU muscles (). The postoperative course was uneventful and in 10 months postoperatively the range of motion (ROM) at the elbow was 90°.
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 ().