<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-215X</journal-id>
<journal-title><![CDATA[Revista Cubana de Ortopedia y Traumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Ortop Traumatol]]></abbrev-journal-title>
<issn>0864-215X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-215X2023000200005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colgajo pectoral mayor para la reconstrucción de defecto cutáneo en región esternoclavicular]]></article-title>
<article-title xml:lang="en"><![CDATA[Pectoralis major flap for the reconstruction of a skin defect in the sternoclavicular region]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Gutiérrez]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Beltrán]]></surname>
<given-names><![CDATA[Rubén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de la Paz Semino]]></surname>
<given-names><![CDATA[Reinier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico "Hermanos Ameijeiras"  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2023000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2023000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2023000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La ortoplastia fusiona conceptos y técnicas comunes a la traumatología y a la cirugía plástica, pero no siempre se logra la cooperación entre estas especialidades. Por ello el cirujano ortopédico debe aprender técnicas de cobertura cutánea que utilicen escasos recursos. Este trabajo presenta una alternativa quirúrgica para la cobertura de defectos complejos en la región esternoclavicular mediante un colgajo miocutáneo del pectoral mayor.  Objetivo:  Exponer el resultado funcional de la cobertura cutánea mediante la aplicación de un colgajo miocutáneo pectoral mayor contralateral.  Presentación de caso:  Paciente masculino de 21 años que presentó necrosis, exposición ósea y subluxación de la articulación esternoclavicular izquierda después de una cirugía vascular. Acudió a consulta de ortopedia para solucionar este defecto de partes blandas.  Conclusiones: El colgajo miocutáneo del pectoral mayor es una técnica quirúrgica muy versátil y segura para la cobertura de defectos en la parte superior del tórax y el cuello con resultado funcional y estético satisfactorios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ortoplastia]]></kwd>
<kwd lng="es"><![CDATA[defecto complejo]]></kwd>
<kwd lng="es"><![CDATA[cobertura cutánea]]></kwd>
<kwd lng="es"><![CDATA[colgajo pectoral mayor]]></kwd>
<kwd lng="en"><![CDATA[orthoplasty]]></kwd>
<kwd lng="en"><![CDATA[complex defect]]></kwd>
<kwd lng="en"><![CDATA[skin cover]]></kwd>
<kwd lng="en"><![CDATA[pectoralis major flap]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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