Reconstruction of a devastating electric injury: case-report.

In the submitted case-report the authors describe a combination of a reconstruction operation with an orthopaedic approach to a devastating injury of the shoulder and elbow in a 26-year-old patient after an electric current injury. The total extent of the skin damage was 13% T.B.S.A. with localization on the right side of the chest, right arm, left elbow and shoulder. After fascial excisions the proximal part of the humerus was amputated with fixation by means of cerclage to the scapula. This defect was covered with the musculus latissimus dorsi flap and the defect on the elbow was covered by a tube pedicle flap.