title: Reconstruction of the distal humerus and elbow joint using a pedicled scapular flap: case report.
abstract: Loss of elbow function resulting from major bone loss negatively affects quality of life and leaves limited options for reconstruction and restoration of function. To overcome this disabling problem, we reconstructed the distal humerus of a child in a single stage using a scapular flap based on the angular branch of the thoracodorsal artery as a pedicled flap. We also reconstructed the proximal ulna using an iliac crest bone graft with dermal graft interposition arthroplasty, which enabled the restoration of useful elbow function.
authors.affiliation: Plastic, Reconstructive, and Hand Surgery Unit, AIC Kijabe Hospital, Kijabe, Kenya. nthumba@gmail.com
authors.forename: Peter
authors.initials: P
authors.lastname: Nthumba
authors.forename: Susan
authors.initials: S
authors.lastname: George
authors.forename: Michael
authors.initials: M
authors.lastname: Jami
authors.forename: Partick
authors.initials: P
authors.lastname: Nyoro
mesh_terms: D001178:Arthroplasty / Q000379:methods*; D016025:Bone Transplantation; D002648:Child; D002908:Chronic Disease; D003646:Debridement / Q000009:adverse effects; D004551:Elbow Joint / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D006811:Humerus / Q000601:surgery*; D007085:Ilium / Q000601:surgery; D016916:Joint Deformities, Acquired / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D010019:Osteomyelitis / Q000150:complications* / Q000601:surgery; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014457:Ulna / Q000601:surgery*