Flail Arm Reconstruction After Failed Nerve Transfers: A Case Report.

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Reconstructive Surgery

Background:

• Complex upper extremity trauma presents significant reconstructive challenges.
• Scapulothoracic dissociation and associated injuries demand advanced surgical management.

Purpose of the Study:

• To present a case of severe upper extremity trauma management.
• To highlight innovative surgical techniques for complex limb salvage.

Main Methods:

• Management of traumatic right scapulothoracic dissociation with severe soft tissue damage and paralysis.
• Elbow disarticulation with humeral shortening osteotomy.
• Glenohumeral arthrodesis and clavicular reconstruction using a vascularized radial osteocutaneous flap.

Main Results:

• Achieved stable limb positioning postoperatively.
• Demonstrated functional improvement with prosthesis use.
• Successful reconstruction of a severely damaged upper extremity.

Conclusions:

• Multidisciplinary collaboration is crucial for complex upper extremity injuries.
• Innovative surgical strategies, including the use of "spare parts," can yield favorable outcomes.
• Resourceful surgical planning is key in managing devastating limb trauma.