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 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°.