A bipedicled chest wall flap to cover an open elbow joint in a burned infant.

A 7-month-old girl sustained a deep and extensive burn of the posterior aspect of the left upper arm and forearm, complicated by an open wound of the elbow joint with exposed bone and articular cartilage. A bipedicled chest wall flap was used to cover the defect. The limb was preserved along with good function in the elbow joint. An above-elbow amputation was thus avoided.