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 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.