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

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.