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J Reconstr Microsurg 2004; 20(2): 139-142
DOI: 10.1055/s-2004-820769
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA

One-Stage Reconstruction of Both the Biceps Brachii and Triceps Brachii Tendons Using a Free Anterolateral Thigh Flap with a Fascial Flap

Gan Muneuchi1 , Shigehiko Suzuki1 , Osamu Ito2 , Yasumi Saso1
  • 1Department of Plastic and Reconstructive Surgery, Kagawa Medical University, Japan
  • 2Department of Plastic and Reconstructive Surgery, Kagawa Prefectural Central Hospital, Japan
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Publication History

accepted: September 16, 2003

Publication Date:
09 March 2004 (online)

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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