Abstract
Purpose To report the clinical outcomes from 2 academic centers of the flexor carpi ulnaris (FCU) flap for coverage of posterior elbow soft tissue defects. Methods We retrospectively reviewed 17 patients who underwent an FCU flap for posterior elbow wound reconstruction over an 8-year period at 2 academic centers. Outcome measures included visual analog score for pain; Disabilities of the Arm, Shoulder, and Hand score; Mayo Elbow Performance score; range of motion; wound healing; grip strength; and isokinetic dynamometry for wrist flexion. Wilcoxon signed-rank test was used to make side-to-side comparisons between the operative and nonsurgical extremities, and nonparametric statistical methods were used to analyze results. Results All wounds healed successfully without need for revision surgery. Average visual analog, Disabilities of the Arm, Shoulder, and Hand, and Mayo Elbow Performance scores in the operative elbow were 1.8, 34, and 86, respectively. Average elbow arc of motion was 11° to 140° with 70° forearm pronation and 73° forearm supination. Compared with the nonsurgical side, grip strength on the operated side was 97% and wrist flexion peak torque was 89%. The operative limb had an average wrist flexion fatigue of 7%, compared with 22% for the nonsurgical arm. Conclusions Patients receiving an FCU flap had reliable healing, minimal pain, good functional outcomes, and no meaningful deficits in grip strength or wrist flexion strength. Type of study/level of evidence Therapeutic IV.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 2358-2363 |
| Number of pages | 6 |
| Journal | Journal of Hand Surgery |
| Volume | 40 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 1 2015 |
| Externally published | Yes |
Fingerprint
Keywords
- Carpi
- elbow
- flap
- ulnaris
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Clinical outcomes of the flexor carpi ulnaris turnover flap for posterior elbow soft tissue defects. / Bayne, Christopher; Slikker, William; Ma, Jianjun; Ruch, David S.; Leversedge, Fraser J.; Cohen, Mark S.; Wysocki, Robert W.
In: Journal of Hand Surgery, Vol. 40, No. 12, 01.12.2015, p. 2358-2363.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clinical outcomes of the flexor carpi ulnaris turnover flap for posterior elbow soft tissue defects
AU - Bayne, Christopher
AU - Slikker, William
AU - Ma, Jianjun
AU - Ruch, David S.
AU - Leversedge, Fraser J.
AU - Cohen, Mark S.
AU - Wysocki, Robert W.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Purpose To report the clinical outcomes from 2 academic centers of the flexor carpi ulnaris (FCU) flap for coverage of posterior elbow soft tissue defects. Methods We retrospectively reviewed 17 patients who underwent an FCU flap for posterior elbow wound reconstruction over an 8-year period at 2 academic centers. Outcome measures included visual analog score for pain; Disabilities of the Arm, Shoulder, and Hand score; Mayo Elbow Performance score; range of motion; wound healing; grip strength; and isokinetic dynamometry for wrist flexion. Wilcoxon signed-rank test was used to make side-to-side comparisons between the operative and nonsurgical extremities, and nonparametric statistical methods were used to analyze results. Results All wounds healed successfully without need for revision surgery. Average visual analog, Disabilities of the Arm, Shoulder, and Hand, and Mayo Elbow Performance scores in the operative elbow were 1.8, 34, and 86, respectively. Average elbow arc of motion was 11° to 140° with 70° forearm pronation and 73° forearm supination. Compared with the nonsurgical side, grip strength on the operated side was 97% and wrist flexion peak torque was 89%. The operative limb had an average wrist flexion fatigue of 7%, compared with 22% for the nonsurgical arm. Conclusions Patients receiving an FCU flap had reliable healing, minimal pain, good functional outcomes, and no meaningful deficits in grip strength or wrist flexion strength. Type of study/level of evidence Therapeutic IV.
AB - Purpose To report the clinical outcomes from 2 academic centers of the flexor carpi ulnaris (FCU) flap for coverage of posterior elbow soft tissue defects. Methods We retrospectively reviewed 17 patients who underwent an FCU flap for posterior elbow wound reconstruction over an 8-year period at 2 academic centers. Outcome measures included visual analog score for pain; Disabilities of the Arm, Shoulder, and Hand score; Mayo Elbow Performance score; range of motion; wound healing; grip strength; and isokinetic dynamometry for wrist flexion. Wilcoxon signed-rank test was used to make side-to-side comparisons between the operative and nonsurgical extremities, and nonparametric statistical methods were used to analyze results. Results All wounds healed successfully without need for revision surgery. Average visual analog, Disabilities of the Arm, Shoulder, and Hand, and Mayo Elbow Performance scores in the operative elbow were 1.8, 34, and 86, respectively. Average elbow arc of motion was 11° to 140° with 70° forearm pronation and 73° forearm supination. Compared with the nonsurgical side, grip strength on the operated side was 97% and wrist flexion peak torque was 89%. The operative limb had an average wrist flexion fatigue of 7%, compared with 22% for the nonsurgical arm. Conclusions Patients receiving an FCU flap had reliable healing, minimal pain, good functional outcomes, and no meaningful deficits in grip strength or wrist flexion strength. Type of study/level of evidence Therapeutic IV.
KW - Carpi
KW - elbow
KW - flap
KW - ulnaris
UR - http://www.scopus.com/inward/record.url?scp=84955441674&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84955441674&partnerID=8YFLogxK
U2 - 10.1016/j.jhsa.2015.09.004
DO - 10.1016/j.jhsa.2015.09.004
M3 - Article
C2 - 26612633
AN - SCOPUS:84955441674
VL - 40
SP - 2358
EP - 2363
JO - The Hand
JF - The Hand
SN - 1753-1934
IS - 12
ER -