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

Revista brasileira de cirurgia Pub Date : 2018-01-01 DOI:10.5935/2177-1235.2018rbcp0021

H. R. Faleiros, José Anésio Faleiros, José Antônio Franciscon, G. Marcatto

{"title":"Reconstruction of the humerus and rehabilitation of the elbow using an osteomyocutaneous scapular flap: a case report","authors":"H. R. Faleiros, José Anésio Faleiros, José Antônio Franciscon, G. Marcatto","doi":"10.5935/2177-1235.2018rbcp0021","DOIUrl":null,"url":null,"abstract":"1 Universidade Estadual Paulista Campus de Botucatu, Botucatu, SP, Brazil. 2 Faculdade de Medicina de Fernandópolis, Unicastelo, Fernandópolis, SP, Brazil. 3 Colégio Brasileiro de Cirurgiões, Rio de Janeiro, RJ, Brazil. 4 Hospital das Clínicas de Fernandópolis, Fernandópolis, SP, Brazil. 5 Sociedade Brasileira de Ortopedia, São Paulo, SP, Brazil. 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.","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"33 1","pages":"139-142"},"PeriodicalIF":0.0000,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista brasileira de cirurgia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5935/2177-1235.2018rbcp0021","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

1 Universidade Estadual Paulista Campus de Botucatu, Botucatu, SP, Brazil. 2 Faculdade de Medicina de Fernandópolis, Unicastelo, Fernandópolis, SP, Brazil. 3 Colégio Brasileiro de Cirurgiões, Rio de Janeiro, RJ, Brazil. 4 Hospital das Clínicas de Fernandópolis, Fernandópolis, SP, Brazil. 5 Sociedade Brasileira de Ortopedia, São Paulo, SP, Brazil. 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.

查看原文本刊更多论文

肩胛骨肌皮皮瓣重建肱骨及肘关节康复一例报告

1巴西圣保罗州立大学博图卡图校区。2巴西博图卡图州立大学博图卡图校区。2巴西博图卡图州立大学Unicastelo医学院Fernandópolis . 3巴西里约热内卢州立大学Cirurgiões . 4巴西圣保罗州立医院Clínicas de Fernandópolis, Fernandópolis . 5巴西圣保罗州立大学骨科学会。简介:我们报告一例20岁男性患者的右肱骨近三分之一重建和肘关节康复，该患者在车祸中受伤，肱骨近三分之一发生5cm骨坏死，肱二头肌撕脱。方法:采用肩胛骨瓣和背阔肌肌皮瓣，以肩胛下血管为椎弓根。结果:患者术后表现良好，术后2个月骨巩固，肘关节开始屈曲。结论:该皮瓣是一种安全有效的骨重建方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Revista brasileira de cirurgia

自引率

0.00%

发文量