Abstract

GONZALEZ-ALANA, I. et al. Inferior ulnar collateral perforators flap to cover defects on antecubital fossa after electrical burn. Cir. plást. iberolatinoam. [online]. 2014, vol.40, n.3, pp.325-329. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922014000300012.

Electrical burns result in deep injury to tissues, especially those lesions produced by entrance and exit of electric flow and voltaic arc, that expose structures such as tendons, nerves or vessels when it happens at the antecubital fossa. Defects produced by electrical burns can be covered using free flaps or local pedicled flaps from arm and forearm. Among different surgical procedures, medial arm flap is a useful one, as it avoids interruption of main vascular axis of the arm and donor site sequelae are minimal. Never the less, its use is not extended due to its difficult dissection, as because the pedicle of the flap has a highly variable anatomical vascularity (superior and inferior ulnar collateral artery). We present a defect produced by electrical burn and its coverage using a local flap based on perforator branches from inferior ulnar collateral artery. Although vascular variability was confirmed, dissection was easy and an aesthetical and functional outcome was achieved.

Keywords : Electrical burns; Electrical burns in arm; Antecubital fossa; Medial arm flap; Inferior ulnar collateral artery.

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