Coverage of elbow defects can be challenging for reconstructive surgeons. The intended reconstruction not only has to cover and protect the underlying structures but also allow for smooth functioning of the joint. Even in the era of microsurgery, certain defects are not amenable to reconstruction with regional flaps or free flaps. Pedicled flaps from the abdomen play a critical role in such cases to salvage the elbow and hence the limb. While there are multiple such flaps mentioned, a systematic review is lacking. This systematic review aims to look at all the pedicled flaps from the abdomen to the elbow reported in the literature. After an extensive search of multiple databases, 159 articles were obtained, of which 31 were selected. The flaps reported in the selected articles were grouped into muscle/ musculocutaneous or skin/fasciocutaneous flaps. While the latissimus dorsi appeared to be the most utilized flap overall to cover the defect in the elbow region, paraumbilical perforator-based flaps were the most common among the fasciocutaneous flaps. This review highlights the commonly used flaps, and discusses the advantages and disadvantages of each. In view of the considerable overlapping names of various fasciocutaneous flaps, we offer a nomenclature for better communication and understanding.
: 18 Nisan 2020
|APA||Berköz, Ö , Aydın, H . (2020). Distant Pedicled Flaps for Elbow Coverage- a Systematic Review . Sağlık Bilimlerinde İleri Araştırmalar Dergisi , 3 (2) , 72-80 . Retrieved from https://dergipark.org.tr/tr/pub/sabiad/issue/55974/722703|