TY - JOUR
TI - Composite rib and serratus anterior pedicle transfer for reconstruction of an osteomyelitis of the humerus
AU - Ignatiadis, I.A.
AU - Mavrogenis, A.F.
AU - Gkiatas, I.
AU - Tsiampa, V.A.
AU - Spyridonos, S.G.
AU - Georgescu, A.V.
JO - Injury
PY - 2020
VL - 51
TODO - null
SP - S59-S62
PB - Elsevier Ireland Ltd
SN - 0020-1383
TODO - 10.1016/j.injury.2020.02.122
TODO - antibiotic agent, adult;  antibiotic therapy;  Article;  bone infection;  bone length;  case report;  clinical article;  device removal;  follow up;  fracture external fixation;  fracture healing;  human;  male;  methicillin resistant Staphylococcus aureus infection;  muscle flap;  open fracture;  open fracture reduction;  osteomyelitis;  osteosynthesis;  pedicled skin flap;  postoperative infection;  priority journal;  proximal humerus;  proximal humerus fracture;  range of motion;  rib graft;  serratus anterior muscle;  serratus anterior muscle flap;  shoulder radiography;  suppuration;  surgical debridement;  thoracodorsal artery;  thorax muscle;  traffic accident;  upper limb;  wound closure;  wound healing;  diagnostic imaging;  humerus;  osteomyelitis;  rib;  skeletal muscle;  surgical flaps;  transplantation, Adult;  Humans;  Humerus;  Male;  Muscle, Skeletal;  Osteomyelitis;  Ribs;  Surgical Flaps
TODO - We report the case of a 40 year-old male with Staphylococcus aureus osteomyelitis of the proximal humerus after open reduction and internal fixation of a fracture from motor vehicle accident. Removal of the osteosynthesis, extensive debridement and intravenous antibiotics administration was done followed by external fixation stabilization and reconstruction with a combined pedicled flap using the serratus anterior reversed flap and the 6th rib. At the last follow-up, healing of the bone flap was observed; the patient experienced useful motion of his upper extremity without any evidence of recurrent infection. © 2020 Elsevier Ltd
ER -