Poster
# 111
Poster |
|
6th Internet World Congress for Biomedical Sciences |
Alejandro Nogueira(1), MŞ Jesús Martínez González(2), Olatz Alcelay(3), Francisco Iglesias(4)
(1)(2)(3)(4)Hospital Central de Asturias - Oviedo. Spain
|
 |
|
|
[Orthopedics & Traumatology] |
[Plastic Surgery] |
An 11 year-old, girl, suffers a lawnmover injury at the medial side of her right elbow. She presents a skin defect of 12x10cm from medial epicondyle to elbow flexion crease, and a defect of ulnar nerve of 8 cm. Epitroclear muscles and capsulo-ligamentous structures are destroyed.
As an emergency procedure the wound was debrided, ulnar nerve transposed anteriorly and buried in muscular masses. 48 hours later the patient was taken to the operating room for second look and reconstruction. At this time a lateral forearm flap it´s tailored in a pedicle fashion with 12 cm lenth. Ulnar nerve gap is saved with sural nerve 5 cm graft, and all the neural portion, epitroclea and joint are covered by the flap.
Figure 1: Defect after debridement and ulnar nerve gap.
Figure 2: Design of the flap.
Figure 3 and 4: Flap tailored and transposed to elbow medial defect.
Figure 5: Sural nerve in ulnar nerve gap.
Figure 6: Defect and nerve are covered by the flap.
Figure 7: Inmediately post-op.
|
|
|
|
|
|
[Orthopedics & Traumatology] |
[Plastic Surgery] |
