A latissimus/scapula combined myo-osseous free flap based on the subscapular artery used for elbow reconstruction.

A myo-osseous free tissue transfer based on the subscapular artery provided elbow reconstruction after a shotgun injury. This reconstruction offers a durable and stable form of soft tissue and bone, preventing some arm function. The tailoring of the latissimus dorsi muscle and the modification of not dividing the teres major in the microvascular harvest offers donor site functional preservation. Although the dissection is more tedious, preservation of the teres major permits minimal donor morbidity, maintenance of function, and the ideal reconstruction of soft tissue and bony loss.