case_images: PMC8366646_01
case_images: Soft tissue defect and clavicular non-union after repeated debridements and vacuum dressings. Bone defect was filled with antibiotic beads.
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case_images: PMC8366646_01_ICRP_A_1962717_F0001_C.jpg
case_images: F0001
case_images: Initial debridements and vacuum-assisted closure dressings had already been performed, leaving a soft-tissue defect (Figure 1) sized approximately 25 x 5 cm, with clavicular bone exposed over a length 20 cm and with an osseous defect of 2 cm.
case_images: Interposition of a 4 cm iliac crest graft and fixation by a locking plate.
case_images: ICRP_A_1962717_F0002_C.jpg
case_images: PMC8366646_01_ICRP_A_1962717_F0002_C.jpg
case_images: F0002
case_images: An iliac crest graft of an adequate size was harvested, introduced into the defect and fixed with an osteosynthesis plate (Medartis locking plate, Figure 2).
case_images: Coverage of the bone graft and the locking plate by a pectoralis major flap elevated via a short scar submammary incision.
case_images: ICRP_A_1962717_F0003_C.jpg
case_images: PMC8366646_01_ICRP_A_1962717_F0003_C.jpg
case_images: F0003
case_images: The flap was pulled through a subcutaneous tunnel and used for coverage of the bone graft and the plate (Figure 3).
case_images: X-ray imaging 8 weeks after surgery shows good embedding of the bone graft and regular plate and screw positions.
case_images: ICRP_A_1962717_F0004_C.jpg
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case_images: F0004
case_images: Post-surgical course was uneventful, with good graft embedding according to X-ray imaging 8 weeks after surgery (Figure 4) and good soft tissue healing (Figure 5).
case_images: Postoperative result after 8 weeks: good defect coverage, inconspicuous scar and only minor impairment of the chest form can be observed.
case_images: ICRP_A_1962717_F0005_C.jpg
case_images: PMC8366646_01_ICRP_A_1962717_F0005_C.jpg
case_images: F0005
case_images: Post-surgical course was uneventful, with good graft embedding according to X-ray imaging 8 weeks after surgery (Figure 4) and good soft tissue healing (Figure 5).