Bipolar latissimus transfer for restoration of elbow flexion

Chaudhry, Sonia; Hopyan, Sevan

doi:10.1016/j.jor.2013.06.004

Cited by 21 publications

(27 citation statements)

References 29 publications

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“…A review article of different techniques highlights the problems of the latissimus dorsi pedicled transfer for elbow flexion – clinical assessment of strength of this muscle is not very specific (inability to differentiate the action of the teres major) and any subclinical injury to the C7 root may downgrade the muscle strength leading to a poor result; the distal insertion of muscle tissue to biceps tendon is not comparable and long incisions are needed to execute the transfer. [ 13 ] Among local muscle transfers for elbow flexion, surgical technique for partial triceps transfer was the easiest and permits early active ROM exercises for the elbow.…”

Section: Discussionmentioning

confidence: 99%

Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury

Rao

Srikanth

2017

Indian J Plast Surg

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Introduction:Upper brachial plexus injury in adults causes loss of elbow fl exion; when the primary nerve surgery has failed or the patient seeks treatment after 12 months of injury and pedicled muscle transfers are required. Most commonly, the latissimus dorsi or the Steindler flexorplasty is used.Material and Methods:We have transferred one of the heads of triceps muscle to restore the elbow flexion in such cases. In addition to return of elbow flexion, extension of elbow following surgery is retained. Ten patients suffering from upper brachial plexus injuries underwent transfer of one head of triceps to biceps tendon between December 2011 and August 2015.Results:The recovery of elbow flexion was Grade 5 in 1, Grade 4 in 4 and Grade 3 in 2; only three of the ten patients had no functionally useful elbow flexion. Seven of the ten patients had an adequate elbow extension following the procedure.

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Section: Discussionmentioning

confidence: 99%

Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury

Rao

Srikanth

2017

Indian J Plast Surg

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“…Due to its close resemblance to the deltoid muscle in its cross-section and excursion, shoulder abduction and flexion can be maintained. Bipolar transfer is where the origin and insertion doi: 10.18282/jsd.v1.i2.32 site of the latissimus dorsi muscle is transected while retaining its functional vascular circulation, which is the thoracodorsal vascular bundle [6] . The muscle is then rotated and attached to the remnant of the excised deltoid muscle at both ends.…”

Section: Discussionmentioning

confidence: 99%

Functional deltoid muscle reconstruction following an extensive squamous cell carcinoma resection

Jun

Saad²

2016

J Surg Dermatol

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Squamous cell carcinoma frequently occurs in an individual with albinism. In this case, the growth of the squamous cell carcinoma was aggressive that it invaded the deltoid muscle. After an oncologic resection, there was a huge defect which required near total resection of the deltoid muscle. Loss of deltoid muscle will lead to the loss of abduction and anterior flexion at the shoulder. This could be debilitating in a person's normal daily life and activities. Restoration of the shoulder abduction and flexion function with a pedicle bipolar latissimus dorsi flap transfer was chosen in this case due to the versatility and reliability of the flap.

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“…Неудовлетворительные результаты лечения отмечались в тех случаях, когда сила ШМС составляла менее 4 баллов, активное сгибание и отведение в плечевом суставе -менее 45°. Кроме того, данное исследование показало, что транспозиция ШМС в позицию сгибателей предплечья позволяет восстановить достаточное сгибание предплечья без формирования тяжелых сгибательных контрактур в локтевом суставе, что соответствует данным других авторов [11][12][13][14][15][16].…”

Section: результатыunclassified

“…Транспозиция ШМС позволяет восстановить достаточное сгибание предплечья без формирования тяжелых сгибательных контрактур в локтевом суставе[11]. Обычно у больных отмечается дефицит разгибания в локтевом суставе после операции не более 10-15°[12][13][14][15][16]. По данным S. chaundry et al (2013), наилучшие результаты наблюдаются в тех случаях, когда у пациента до операции имеется Хороший результат монополярной пересадки широчайшей мышцы спины в позицию сгибателей предплечья поэтапно с двух сторон у больной С., 3 года: а -пассивное сгибание в правом локтевом суставе с использованием компенсаторно-приспособительных движений; б, в -этапы операции; г, д -активное сгибание в локтевых суставах через 4 года после операции  Ортопедия, травматология и восстановительная хирургия детского возраста.…”

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Restoration of elbow active flexion via latissimus dorsii transfer in patients with arthrogryposis

Agranovich

Евгеньевна²,

Kochenova

et al. 2018

Pediatr Traum Orthop Reconstr Surg

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Background. Severe hypoplasia (or aplasia) of the biceps brachii is a primary cause of restriction in activities of daily living in patients with arthrogryposis. Aim. To estimate the possibility of restoring elbow active flexion via a latissimus dorsii transfer in patients with arthrogryposis. Materials and methods. From 2011 to 2018, we restored active flexion of the elbow via a latissimus dorsi transfer to the biceps brachii in 30 patients with arthrogryposis (44 upper limbs). We used different regimes including clinical examinations, EMG donor and recipient sites, and CT of the chest wall and shoulder. Results. The mean age of the patients was 4.0 ± 2.4 years, and the follow-up period was 3.2 ± 1.9 months. Follow-up results were available for 26 patients (30 upper limbs). The active postoperative elbow motion was 90.5 ± 14.9°. Elbow extension limitation occurred in 51% of cases (12.8 ± 4.3°) without any problems in activities of daily living. In total, 55.6% of patients had good results, 33.3% had satisfactory results, and 11.1% had poor results. Discussion. Our latissimus dorsi transfer results were comparable with those of other authors. Transposition of the latissimus dorsi to the biceps brachii restores sufficient flexion of the elbow without severe elbow flexion contractures. Conclusions. We suggest pedicle monopolar latissimus dorsi transfer as a reliable therapeutic option to restore active elbow flexion in patients with arthrogryposis having passive elbow flexion of 90° or higher before operation and donor muscle strain grade 4 or higher.

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Bipolar latissimus transfer for restoration of elbow flexion

Cited by 21 publications

References 29 publications

Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury

Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury

Functional deltoid muscle reconstruction following an extensive squamous cell carcinoma resection

Restoration of elbow active flexion via latissimus dorsii transfer in patients with arthrogryposis

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