A Retrospective Comparative Study of Neurocutaneous Flaps versus Regional Perforator Flaps in the Reconstruction of Soft Tissue Defects Around the Elbow Region

Khater, Amr Mohamed Elhussiny; El Gendi, Mohamed Ahmed; El-Ghawalby, Ahmed Nabih Anwar; El Sabbagh, Mohamed Ahmed

doi:10.21608/ejprs.2025.360856.1408

A Retrospective Comparative Study of Neurocutaneous Flaps versus Regional Perforator Flaps in the Reconstruction of Soft Tissue Defects Around the Elbow Region

Document Type : Original Article

Authors

¹ The Department of Plastic Surgery, Faculty of Medicine, Mansoura University

² Plastic Surgery Department, Faculty of Medicine, Mansoura University

³ Professor of Gastrointestinal Surgery Faculty of Medicine, Mansoura Universit

⁴ Plastic Surgery Department, Faculty of Medicine; Mansoura University

10.21608/ejprs.2025.360856.1408

Abstract

Introduction: Pedicled flaps are good surgical options for reconstruction of soft tissue defects around the elbow region. In this study, we compared the use of neurocutaneous flaps versus regional perforator flaps in reconstruction defects around the elbow region.

Patients and methods: The study included fifteen patients who were divided in two groups. Group A where perforator flaps were used and group B where neurocutaneous flaps were used. all patients were followed up for at least six months. Early complications were recorded, after six months, assessment of the outcome of surgery was done.

Results: We performed nine pedicled perforator flaps and six neurocutaneous flaps in fifteen patients. Follow up of our cases ranged from 26 to 6 months (mean: 14.4 months). early postoperative complications included surgical site infection and venous congestion. These complications were managed conservatively. P values for the pain score and the range of motion were 0.5 and 0.69 respectively.

Conclusion: A comprehensive evaluations of soft tissue defects in the elbow region are mandatory for selection of the reconstructive option. When addressing moderate-sized defects, particularly those over the olecranon, neurocutaneous flaps should take priority. Perforator flaps emerge as viable options for reconstruction of moderate to massive soft tissue defects around the elbow region.

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