Compound rib-latissimus dorsi osteomusculocutaneous flap in reconstruction of the upper arm

Reconstruction of humeral defects with a pedicled compound rib-latissimus dorsi osteomusculocutaneous flap is described. This flap consists of a latissimus dorsi musculocutaneous flap and segments taken from two ribs. In addition to the advantages of the conventional latissimus dorsi musculocutaneous flap, it enables multiple ribs to be transferred to the recipient site. This compound flap transfer can be used as a choice for a reconstructive procedure of the upper arm combined with humeral defects.