Duoscapular flap: a new option in shoulder reconstructive surgery

ABSTRACT

Introduction:

Shoulder cutaneous fibrosarcoma is an unusual pathology that requires extensive resections. The scapula is a source of flaps widely used in this region.

Method:

A longitudinal and prospective study was carried out in a patient with protuberans cutaneous fibrosarcoma on the right shoulder who underwent resection followed by local reconstruction with a Duoscapular Flap (a combination of scapular and parascapular flaps).

Results:

The patient had no postoperative complications, as systemic and local complications as well as functional limitations were not observed.

Conclusion:

Duoscapular Flap placement is a novel procedure and a relevant choice for the reconstruction of extensive wounds exposing noble structures in the shoulder. It allows the primary closure of the donor area without increasing the morbidity of the procedure.

Keywords:
Duoscapular; Scapular; Parascapular; Cutaneous fibrosarcoma; Shoulder; Flap