Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case report

INTRODUCTION: We report a case of reconstruction of the proximal third of the right humerus and rehabilitation of the elbow in a 20-year-old male patient who was injured in an automobile accident and developed bone necrosis of 5 cm at the proximal third of the humerus and avulsion of the brachial bi...

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Main Authors: Humberto Regis de Paula Faleiros, José Anésio Faleiros, José Antônio Franciscon, Gustavo Marcatto
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2018-03-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1928/en_v33n1a21.pdf
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author Humberto Regis de Paula Faleiros
José Anésio Faleiros
José Antônio Franciscon
Gustavo Marcatto
author_facet Humberto Regis de Paula Faleiros
José Anésio Faleiros
José Antônio Franciscon
Gustavo Marcatto
author_sort Humberto Regis de Paula Faleiros
collection DOAJ
description INTRODUCTION: We report a case of reconstruction of the proximal third of the right humerus and rehabilitation of the elbow in a 20-year-old male patient who was injured in an automobile accident and developed bone necrosis of 5 cm at the proximal third of the humerus and avulsion of the brachial biceps. METHODS: A scapular bone flap was used, together with a latissimus dorsi myocutaneous flap, using subscapular vessels for the pedicle. RESULTS: The patient had excellent postoperative course, presenting in the 2-month postoperative period with bone consolidation and initiation of elbow flexion. CONCLUSIONS: This flap modality is a safe and useful option for bone reconstruction.
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publishDate 2018-03-01
publisher Thieme Revinter Publicações Ltda.
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series Revista Brasileira de Cirurgia Plástica
spelling doaj-art-83853bdb045f4fd8966652c684cb195d2025-08-20T03:33:53ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352018-03-01330113914210.5935/2177-1235.2018RBCP0021Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case reportHumberto Regis de Paula Faleiros0José Anésio Faleiros1José Antônio Franciscon2Gustavo Marcatto3Universidade Estadual Paulista Campus de Botucatu, Botucatu, SP, BrazilColégio Brasileiro de Cirurgiões, Rio de Janeiro, RJ, BrazilFaculdade de Medicina de Fernandópolis, Unicastelo, Fernandópolis, SP, BrazilFaculdade de Medicina de Fernandópolis, Unicastelo, Fernandópolis, SP, BrazilINTRODUCTION: We report a case of reconstruction of the proximal third of the right humerus and rehabilitation of the elbow in a 20-year-old male patient who was injured in an automobile accident and developed bone necrosis of 5 cm at the proximal third of the humerus and avulsion of the brachial biceps. METHODS: A scapular bone flap was used, together with a latissimus dorsi myocutaneous flap, using subscapular vessels for the pedicle. RESULTS: The patient had excellent postoperative course, presenting in the 2-month postoperative period with bone consolidation and initiation of elbow flexion. CONCLUSIONS: This flap modality is a safe and useful option for bone reconstruction.http://www.rbcp.org.br/export-pdf/1928/en_v33n1a21.pdfelbowhumerusmyocutaneous flapsuperficial muscles of the backosteonecrosis
spellingShingle Humberto Regis de Paula Faleiros
José Anésio Faleiros
José Antônio Franciscon
Gustavo Marcatto
Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case report
Revista Brasileira de Cirurgia Plástica
elbow
humerus
myocutaneous flap
superficial muscles of the back
osteonecrosis
title Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case report
title_full Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case report
title_fullStr Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case report
title_full_unstemmed Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case report
title_short Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case report
title_sort reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap a case report
topic elbow
humerus
myocutaneous flap
superficial muscles of the back
osteonecrosis
url http://www.rbcp.org.br/export-pdf/1928/en_v33n1a21.pdf
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