Surgical managment of soft tissue loss in the wrist consists of suitable coverage for the protection of vascular, nervous and tendinous structures. The fasciocutaneous cubital flap covers wrist defects, providing safe support over the nerves, tendons and vessels. Reported here is five cases of wrist defects by different etiology (extravasations, autolysis, trauma and neuritis). A fasciocutaneous cubital flap successfully covered the soft tissue loss in all cases. This flap is applied in an easy, one-stage procedure and it maintains the major arteries of the forearm.
CerusoM., AngeloniR., InnocentiM., LauriG., CapannaR., BufaliniC.. [Reconstruction with free vascularized or island flaps of soft tissue loss in the upper limb after tumor resection.16 cases.] Ann Chir Main Memb Super1995; 14: 217.
2.
ChoupinaM., MalheiroE., GuimaraesI.. Osteofasciocutaneous flap based on the dorsal ulnar artery. A new option for reconstruction of composite hand defects.Br J Plast Surg2004; 57: 4658.
3.
BeckerC., GilbertA.. Le lambeau cubital.Ann Chir Main1988; 7: 13642.
4.
el-KhatibH.A.. Island fasciocutaneous flap based on the proximal perforators of the radial artery for resurfacing of burned cubital fossa.Plast Reconstr Surg1997; 100: 91925.
5.
MasqueletA.C., GilbertA.. An Atlas of Flaps of the Musculoskeletal System.London: Taylor & Francis Group, 2003.
6.
GoubierJ.N., RomanaC., MasqueletA.C.. [The posterior interosseous flap in the child: 13 case reports.]Chir Main2002; 21: 1026.
7.
GoitzR.J., SteichenJ.B.. Microvascular omental transfer for the treatment of severe recurrent median neuritis of the wrist: A long-term follow-up.Plast Reconstr Surg2005; 115: 16371.
8.
VocheP., MerleM.. [The use of pedicular flap from the squared pronator muscle in the prevention and treatment of neuritis.Report of 8 cases.] Ann Chir Plast Esthet1997; 42: 58792.
9.
JonesN.F., ShawW.W., KatzR.G., AngelesL.. Circumferential wrapping of a flap around a scarred peripheral nerve for salvage of end-stage traction neuritis.J Hand Surg [Am]1997; 22: 52735.
10.
SalamehY., ShoufaniA.. Full-thickness skin necrosis after arginine extravasation – a case report and review of literature.J Pediatr Surg2004; 39: e911.