COVERAGE OF ELBOW ULCERS IN A PATIENT WITH WERNERS-SYNDROME

We present the repair of trophic ulcers on both elbows in a patient wi th Werner's syndrome. There is little information in the surgical lite rature about the repair of ulcers in patients with this rare entity. T he technique used for coverage of the left elbow was an adipofascial t urnover flap and on the right elbow an ''extended'' lateral arm island flap. We analyze the superior result of the latter technique and its advantages over other alternatives. It is a one-stage procedure that i s reasonably easy and safe; it avoids elbow and shoulder stiffness; it avoids sacrifice of a principal artery or muscle; the donor site can be closed directly; and the padding obtained is optimum. With the ''ex tended'' dissection, we can obtain an additional advance to cover the elbow defect.