Fig. 5
From: A review and critical appraisal of central axis flaps in axillary and elbow contractures
A scarred propeller flap for right elbow contracture. a Preoperative flap marking in a 5-year-old child with a 45° elbow contracture. b A flap is raised of the central scarred tissue along the axis of the extremity, on a subcutaneous pedicle. Note the zig-zag incisions at the flap margin. c The flap is rotated by 90°. A small area of the donor defect is being closed primarily, and the rest is covered with a split skin graft. d Full elbow extension at 1 year postoperative follow-up