Boucher F, La Marca S, Delay E, Mojallal A
Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, centre hospitalier universitaire de Lyon, 103 grande rue de la Croix-Rousse, Lyon, France.
Ann Chir Plast Esthet. 2013 Aug;58(4):277-82. doi: 10.1016/j.anplas.2013.03.005. Epub 2013 Apr 25.
The elbow defects can raise problem to plastic surgeon. Indeed, this region is characterized by thin and mobile tissues; its reconstruction must be long-lasting, resistant to movements, to shear forces and to external support. Perforator propeller flaps beings appear an interesting option in the reconstruction of elbow defects. In this report, we describe a patient having benefited from the excision of a melanoma of the region of the elbow. After multidisciplinary meeting and resection of new margins, a reconstruction by perforator propeller flap was realized. A perforator pedicle of the lateral brachial region was located and used. The postoperative result in term of cover and function was considered very satisfactory. The perforator propeller flaps appear a reliable and interesting solution in the coverage of elbow defect.
肘部缺损会给整形外科医生带来难题。实际上，该区域的组织薄且活动度大；其重建必须持久，能抵抗运动、剪切力和外部支撑。穿支推进皮瓣似乎是修复肘部缺损的一个有吸引力的选择。在本报告中，我们描述了一名受益于肘部区域黑色素瘤切除的患者。经过多学科会诊和新切缘的切除后，采用穿支推进皮瓣进行了重建。确定并使用了臂外侧区域的一个穿支蒂。从覆盖和功能方面来看，术后结果被认为非常令人满意。穿支推进皮瓣在覆盖肘部缺损方面似乎是一种可靠且有吸引力的解决方案。
