An avulsed elbow with severe degloving and crush injury was reconstructed in a 66-year-old
man. The biceps brachii was completely transected, and the triceps brachii tendon
was partly transected. In addition, the skin around the elbow had become totally necrotic.
Four weeks after the injury, a free anterolateral thigh flap with a fascial flap was
transplanted to reconstruct both the biceps brachii and triceps brachii tendons simultaneously.
Six months after the initial injury, the range of elbow motion had recovered to almost
the same level as that before injury.
KEYWORDS
Anterolateral thigh flap - fascial flap - flexorplasty - biceps brachii tendon - triceps
brachii tendon
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Gan MuneuchiM.D.
Department of Plastic and Reconstructive Surgery, Kagawa University
1750-1, Ikenobe, Miki
Kita, Kagawa, 761-0793, Japan
