Introduction:

Orthoplasty merges concepts and techniques common to traumatology and plastic surgery; but achieving the cooperation between these specialties is not always easy. Therefore, the orthopedic surgeon must learn skin coverage techniques that use few resources. This paper presents a surgical alternative for the coverage of complex defects in the sternoclavicular region by means of a pectoralis major myocutaneous flap.

Objective:

To expose the functional result of skin coverage by applying a contralateral pectoral major myocutaneous flap.

Case report:

The case of a 21-year-old male patient who had necrosis, bone exposure, and subluxation of the left sternoclavicular joint after vascular surgery. He went to an orthopedic clinic to solve this soft tissue defect.

Conclusions:

The pectoralis major myocutaneous flap is a very versatile and safe surgical technique for covering defects in the upper part of the thorax and neck with satisfactory functional and aesthetic results.

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