A New Method For Elbow Arthrodesis For Soft Tissue Covarage: The Use Of Biceps Brachii Muscle Flap

© 2018 Turkish Journal of Plastic Surgery | Published by Wolters Kluwer - Medknow 77

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Abstract

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Keywords:%LFHSVEUDFKLLPXVFOHÀDSHOERZDUWKURGHVLVXSSHUH[WUHPLW\

Address for correspondence: Dr. Soysal Bas, Department of Plastic, Reconstructive and Aesthetic Surgery, Sanliurfa Mehmet Akif Inan Education and Research Hospital, Esentepe Mah. Ertugrul Cad., 63200 Sanliurfa, Turkey.

E-mail: soysalbas@gmail.com

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A New Method for Elbow Arthrodesis for Soft-tissue Coverage:

The Use of Biceps Brachii Muscle Flap

Soysal Bas, Sercin Bas¹, Utku Uyan², Mustafa Durgun³

Departments of Plastic, Reconstructive and Aesthetic Surgery and ²Orthopedic Surgery, Sanliurfa Mehmet Akif Inan Education and Research Hospital, Sanliurfa,

1Department of Radiology, Goztepe Education and Research Hospital, Istanbul Medeniyet University, Istanbul, ³Department of Plastic, Reconstructive and Aesthetic Surgery, Izmir Katip Celebi University, Izmir, Turkey

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Anatomy and surgical technique

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Figure 1: The X-ray images of the patient. (a) First admission after gunshot injury. (b) After the first operation. (c) After the second operation

Figure 2: (a) Plaque and screw application in right elbow arthrodesis.

(b) Image of biceps brachii muscle flap. (c) Distal perforators of the flap. (d) Adaptation of the flap over the plate and screw on the elbow

c d a b

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Figure 4: (a and b) The 1^st postoperative day after arthrodesis and X-ray image. (c and d) Postoperative 2^nd month after arthrodesis and X-ray image. (e and f) Postoperative 9^th month after arthrodesis and X-ray image

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Figure 3: Illustration of biceps brachii muscle anatomy and flap elevation. (a) Biceps brachii muscle and its perforators. (b) Flap elevation through distal perforators. (c) Adaptation of the flap over the plate and screw on the elbow

b c a

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Declaration of patient consent

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Financial support and sponsorship 1LO

Conflicts of interest

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