title: [Osteomusculocutaneous flap for clavicular reconstruction: a case report].
abstract: Radiotherapy for tumors can cause soft tissue necrosis, osteonecrosis, and pathologic fractures. A 47-year-old woman presented with a pathologic fracture of the left clavicle 10 years after radiotherapy following radical mastectomy for breast cancer. She was treated with a compound rib-latissimus dorsi osteomusculocutaneous flap with a 4-cm segment of the sixth rib. Fusion of the bones was achieved in three months. Donor site morbidity was cosmetically acceptable and function of the shoulder was improved. The Constant shoulder score which was 36 preoperatively increased to 88 after 38 months of follow-up.
authors.affiliation: Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Selçuk University, Konya, Turkey. myel@selcuk.edu.tr
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yel
authors.forename: M Nazim
authors.initials: MN
authors.lastname: Karalezli
authors.forename: Zekeriya
authors.initials: Z
authors.lastname: Tosun
authors.forename: Serhan
authors.initials: S
authors.lastname: Sezgin
authors.forename: Nedim
authors.initials: N
authors.lastname: Savaci
mesh_terms: D001847:Bone Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D002968:Clavicle; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D011832:Radiation Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery; D011859:Radiography; D011878:Radiotherapy / Q000009:adverse effects; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps