AN ADIPOFASCIAL TURNOVER FLAP FOR SOFT-TISSUE COVER AROUND THE CLAVICLE

Skin defects overlying a clavicular fracture are uncommon. Soft tissue cover is essential to avoid osteomyelitis and non-union. We present t wo cases of exposed fractures of the middle third of clavicle followin g osteosynthesis. Soft tissue cover was provided by an adipofascial tu rnover flap based. on the inferior edge of the defect. The flap was ra ised with considerable ease and its vascular supply was reliable. Ther e was minimal donor site morbidity and the aesthetic outcome of the re constructions was excellent.