PMC3834865_01
Reconstruction was achieved using a vascularized free fibula bone graft to the left humerus, pedicle latissimus muscle rotational flap, and split-thickness skin graft.
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F1
Reconstruction was achieved using a vascularized free fibula bone graft to the left humerus, a pedicle latissimus muscle rotational flap, and a split-thickness skin graft (Fig 1).
Recurrent BCC with invasion of the humerus.
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F2
Final pathology revealed an infiltrating BCC, forming a soft tissue mass with invasion of adjacent humeral bone (Fig 2).
Fracture at graft site.
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F3
At 4 months, the patient experienced a fracture of the ipsilateral distal humerus at the graft site that was conservatively treated with a Sarmiento brace (Fig 3).