Functional Evaluation of the Shoulder Following Latissimus Dorsi Muscle Transfer

Fraulin, Frankie Og; Louie, Gorman; Zorrilla, Lorelle; Tilley, Wendy

doi:10.1097/00000637-199510000-00003

Cited by 109 publications

(63 citation statements)

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“…In particular, women may suffer significant work performance difficulties and half may have problems with at least one activity of daily living following latissimus dorsi harvest [24]. In patients who are heavily reliant on their shoulder girdle strength for mobilization, such as patients who are crutch or walker dependent, alternatives to the latissimus dorsi flap should be considered.…”

Section: Latissimus Dorsi Flapsmentioning

confidence: 99%

Reconstruction of the chestwall and thorax

Skoracki

Chang

2006

Journal of Surgical Oncology

100

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Chest wall reconstructions can be complex and challenging procedures and may require a multidisciplinary approach. The most common indications for chest wall reconstruction are the repair of defects due to tumor ablation, infection, radiation necrosis, congenital deformities, and trauma. Flap reconstruction by plastic surgery is often required when skin is removed as part of the chest wall resection or when radiation therapy is given pre- or post-operatively. Tissue flaps may be needed to provide vascularized tissue over alloplastic materials used to stabilize the chest wall, to cover vital structures of the chest cavity, to fill dead space, and to improve cosmesis.

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Section: Latissimus Dorsi Flapsmentioning

confidence: 99%

Reconstruction of the chestwall and thorax

Skoracki

Chang

2006

Journal of Surgical Oncology

100

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“…Although raising the latissimus dorsi muscle has little effect on shoulder function, dynamic muscle testing has clearly outlined deficits in muscle power and endurance on shoulder extension and adduction. 12 The subscapular vascular system has traditionally been known as an area with a rich source of composite flaps and offers great variability in flap design. 13 In order to minimize donor site morbidity, we combined principles of perforator flap surgery with the principles of composite flap transfer.…”

Section: Discussionmentioning

confidence: 99%

The thoracodorsal artery perforator flap with a vascularized scapular segment for reconstruction of a composite lower extremity defect

2006

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High-energy trauma resulting in a composite defect of the lower extremity confronts the microvascular surgeon with more difficulties than do free flap reconstruction elsewhere in the body, since the choice of distant recipient vessels is particularly difficult. Combining principles of perforator flap surgery with those of composite tissue transfer, we designed a thoracodorsal artery perforator flap with a vascularized bone segment from the scapula for reconstruction of a composite lower extremity defect in a patient following a paragliding accident. This is the first report on the application of a composite thoracodorsal artery perforator flap with vascularized scapula in lower extremity reconstruction. Among its multiple advantages, such as preservation of latissimus dorsi function, it is a good tool for one-stage reconstruction of traumatic composite lower extremity defects because its low donor site morbidity and long vascular pedicle enables anastomosis placement outside the zone of injury.

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“…42 These results agree with the majority of the published literature, although there is a wide range in method of strength testing and follow-up. 43,44 Long-term complications Flaps that are harvested from abdominal tissue often require harvest of rectus abdominis fascia and some or all of the rectus abdominis muscle, in addition to a transversely oriented paddle of skin and soft tissue. These TRAM flaps can be harvested as either pedicled or free flaps.…”

Section: Free Vs Pedicled Flapsmentioning

confidence: 99%