Journal of Plastic, Reconstructive & Aesthetic Surgery
Case reportReconstruction of elbow region defects using radial collateral artery perforator (RCAP)-based propeller flaps
Section snippets
Case 1
A 71-year-old man presented with an elbow soft-tissue defect following olecranon bursitis (Figure 1(a)). An RCAP-based propeller flap, measuring 13 × 5 cm, was planned to cover the defect, measuring 10 × 5 cm after the bursal cyst excision. The locations of perforators were confirmed preoperatively by using acoustic Doppler. The RCAP was dissected above the deep fascia while preserving the perforators. A perforator that penetrated the deltoid tendon and a perforator that arose from the lateral
Discussion
The profunda brachial artery is the first major branch of the brachial artery (Figure 3). This artery closely follows the radial nerve, and is divided into the anterior branch (anterior RCA) and posterior branch (posterior RCA). This bifurcation is located on average 10 cm (range: 7.5–11.4 cm) proximal to the prominence of the lateral epicondyle.6 Then the posterior RCA runs along the lateral intermuscular septum between the brachioradialis muscle anteriorly and the triceps muscle posteriorly,
Disclosure
None of the authors has a financial interest to declare in relation to the content of this article.
Funding
None.
Conflicts of interest
None declared.
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