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 two cases of exposed fractures of the middle third of clavicle following osteosynthesis. Soft tissue cover was provided by an adipofascial turnover flap based on the inferior edge of the defect. The flap was raised with considerable ease and its vascular supply was reliable. There was minimal donor site morbidity and the aesthetic outcome of the reconstructions was excellent.