Resumo

LOPEZ BELTRAN, Rubén; HERNANDEZ GUTIERREZ, Raúl; NAVARRO GONZALEZ, Alfredo  e  HERNANDEZ SUAREZ, Bárbaro. Wide dorsal flap: Indispensable technique in reconstructive surgery of the upper limb. Rev Cubana Ortop Traumatol [online]. 2006, vol.20, n.1, pp. 0-0. ISSN 1561-3100.

The case of a patient that suffered a complicated open fracture of the medial third of  humerus in the right upper limb, with total section of the humeral artery, of the brachial biceps muscle, and with  bone and medial nerve exposure.was presented. Initially, humeral stabilization with Ralca external monopolar fixation and arterial suture was performed. A proximal pediculated myocutaneous flap of the wide dorsal muscle was later applied aimed mainly at attaining an adequate myocutaneous coverage and at restoring the abolished elbow flexion. A satisfactory evolution and an excellent result were obtained. It was concluded that this procedure is of vital importance in the reconstructive surgery of complex fractures of the upper limb.

Palavras-chave : Myocutaneous flap; wide dorsal muscle; reconstructive surgery; upper limb.

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