Pedicled latissimus dorsi flap for arm defects: A report of twenty-three cases

Mohanty, Nilamani; Nayak, Bibhuti Bhusan

doi:10.4103/0975-7341.165255

Cited by 1 publication

(3 citation statements)

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“…Like previous studies, our institution's most common indications for LD transfer were for reconstruction of soft tissue defects. In contrast with other studies, 3,4,13 we had a higher percentage of neoplasm cases versus traumatic cases. This may be from hesitancy to do lengthy flap surgery in morbid traumatic cases.…”

Section: Discussioncontrasting

confidence: 99%

“…It has a predictable neurovascular anatomy 2 which can be used as a pedicled flap (diameter 1 to 2.5 mm, length 11-16 cm), with a wide arc of rotation on the torso or upper extremity. [3][4][5][6] The flap can be transferred as a pedicled or free flap. As a pedicled flap, it can be used to cover defects from the shoulder up to the proximal forearm.…”

Section: Introductionmentioning

confidence: 99%

“…Most commonly described is the donor site seroma, 11 (a fluid collection beneath the donor site causing dehiscence and wound complications) which can mitigated by careful dead space management, 11 use of donor site drains, 2,4,5 and multiple aspirations. 4 Still others describe distal flap necrosis, scar hypertrophy, unsightly graft sites, and weakness in shoulder internal rotation and shoulder extension. 12…”

Section: Introductionmentioning

confidence: 99%

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Clinical Outcome of the Latissimus Dorsi Muscle Flap in Orthopedic Reconstruction

Genuino

Estrella

2022

Acta Med Philipp

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Introduction. The latissimus dorsi muscle has been the “workhorse” of reconstructive surgery because of its predictable neurovascular anatomy and ability to perform both wound coverage and restoration of function.Objectives. We determined the flap viability, complications, and muscle function (if used as muscle transfer) of our latissimus dorsi flaps for orthopedic reconstruction.Methods. This is a retrospective review of all cases done in the Microsurgery Unit of the Philippine General Hospital and The Medical City from January 2005 to present using the latissimus dorsi muscle for reconstructive surgery. All patients were followed-up for six months.Results. There were 14 patients who had reconstructive surgeries using the latissimus dorsi muscle. Three patients had traumatic brachial plexus injuries where the latissimus dorsi muscle was used for the reconstruction of elbow flexion. Eleven patients required coverage of a large defect, where seven were secondary to tumor resection and four were secondary to trauma. Of the fourteen patients, nine were pedicled flaps and five were free flaps. We had one failure (free flap group/tumor resection). The rest of the flaps survived completely. The smallest flap was 10 x 8 cm, and the largest flap was 28 x 24 cm.Conclusion. The latissimus dorsi muscle remains to be a versatile muscle in the field of orthopedic reconstructive surgery.

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Section: Discussioncontrasting

confidence: 99%