Trasolini Nicholas A, Chidester Jerry, Ghiassi Alidad, Stevanovic Milan
University of Southern California, Los Angeles, USA.
Hand (N Y). 2020 Mar;15(2):NP37-NP41. doi: 10.1177/1558944719843632. Epub 2019 Apr 23.
Soft tissue defects about the elbow with concurrent ligamentous instability can be challenging to treat. We present a case report of a lateral elbow wound that resulted in lateral ulnar collateral ligament deficiency and posterolateral elbow instability. We describe our technique of a modified brachioradialis rotational flap, in which the muscle is rotated to cover the soft tissue defect, while the vascularized brachioradialis tendon is used to simultaneously reconstruct the lateral ulnar collateral ligament. This procedure successfully restored posterolateral elbow stability at the time of wound coverage. Elbow soft tissue defects with associated ligamentous injuries can be treated using a modification of the brachioradialis rotational flap.
伴有韧带不稳定的肘部软组织缺损的治疗颇具挑战性。我们报告一例外侧肘部伤口病例，该伤口导致尺侧副韧带外侧束缺损及肘后外侧不稳定。我们描述了改良桡侧腕长伸肌旋转皮瓣技术，即旋转该肌肉以覆盖软组织缺损，同时利用带血管蒂的桡侧腕长伸肌腱同步重建尺侧副韧带外侧束。此手术在覆盖伤口的同时成功恢复了肘后外侧稳定性。伴有相关韧带损伤的肘部软组织缺损可采用改良桡侧腕长伸肌旋转皮瓣进行治疗。
