Reconstruction of Extensive Soft-Tissue Defects with Concomitant Bone Defects in the Lower Extremity with the Latissimus Dorsi-Serratus Anterior-Rib Free Flap

Sia, Wei Tee; Xu, G.G.; Puhaindran, Mark E.; Tan, Bien Keem; Cheng, Mathew Hern Wang; Chew, Winston Y.C.

doi:10.1055/s-0035-1548741

Cited by 14 publications

(2 citation statements)

References 24 publications

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“…An obvious drawback of choosing the rib for mandible reconstruction is that the rib bone is not solid as the fibular one: it cannot bear dental implants restricting the food intake to soft is that the vascularized rib may not be strong enough to bear the mechanical loads in the lower limb, because of the smaller crosssectional area of the rib. On the contrary, Sia et al 24 found that a single vascularized rib was sufficient to allow for eventual full weight bearing because of its ability to hypertrophy, thus increasing the cross-sectional area and cortical thickness of the bone. Therefore, indication for the flap in our case series is consistent with the literature reports.…”

Section: Discussionmentioning

confidence: 98%

The versatility of the thoracodorsal artery based composite flaps with vascularized rib and a systematic review of the literature

Taranto

Amorosi

Sitpahul

et al. 2019

Journal of Surgical Oncology

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Pedicled and free composite flaps derived from the thoracodorsal artery system, including the latissimus dorsi‐rib (LD‐R) and the serratus anterior‐rib (SA‐R) osteo‐muscular or osteo‐myocutaneous flaps, are potential options to address head and neck, thorax, upper and lower extremity bone, and soft tissue defects' reconstruction. We aimed to report our series of LD/SA‐R composite pedicled and free flaps, evaluating outcomes and complications, and to systematically identify all literature reporting results following LD/SA‐rib reconstructions.

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Section: Discussionmentioning

confidence: 98%

The versatility of the thoracodorsal artery based composite flaps with vascularized rib and a systematic review of the literature

Taranto

Amorosi

Sitpahul

et al. 2019

Journal of Surgical Oncology

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“…In the flap transfer methods, the flap is taken towards conserving a part of the muscle. The proportion of branched samples should be clearer about arteries in that muscle (1,6). Serratus anterior muscle flaps have not been widely studied, particularly in Vietnam (7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

The Flap Based on the Subscapular Artery: A Cross-sectional Study

Nguyen

2021

Trends in Med Sci

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Background: The lateral thoracic-lumbar-scapular region is an ideal source to supply flaps. The study towards improving the method of taking flaps towards conserving a part of the muscle needs to clarify the ratio of branching forms of the arteries in the muscle. Objectives: This study was done to describe the typical anatomy, the anatomical and size variations of subscapular and circumflex scapular vessels, the branching and distribution of vascular pedicle supplying latissimus dorsi muscle flap, and serratus anterior muscle flap of circumflex scapular vessels. Methods: We conducted a cross-sectional study on 24 corpses of adults of both genders. The flap vessels were revealed through two stages of surgery, including the axillary region and the lumbar-scapular region. We classified the collected information and recognized typical and transformed forms based on statistical data. Results: The subscapular artery was separated by the axillary artery, the general origin of the circumflex scapular artery, and the thoracodorsal artery. Subscapular vessels were found in 40/42 cases, accounting for 95.2%, and the length and diameter were 3.04 ± 0.51 cm and 2.85 ± 0.46mm, respectively. The circumflex scapular artery, which had originated from the subscapular artery, was found in 40/42 cases. It also showed origin from subscapular artery with 2/42 cases. The length of the circumflex scapular artery was 3.14 ± 0.70 cm, and its diameter was 2.46 ± 0.48 mm. Terminal branches of the circumflex scapular artery were very variable. Almost all branching forms of the artery in the latissimus dorsi muscle were external branches, but they might be present or not in internal and recurrent branches. Conclusions: The vascular pedicle’s distribution, size, and presence were influenced by the subscapular artery supply flaps. Due to the diverse blood supply from the flaps’ vessels, the surgeon can use the flaps based on the subscapular artery in many forms. These flaps could be used as a seamless vascular flap or a free flap in orthopedic surgery.

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The spreaded gracilis flap revisited: Comparing outcomes in lower limb reconstruction

et al. 2017

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Reconstruction of Extensive Soft-Tissue Defects with Concomitant Bone Defects in the Lower Extremity with the Latissimus Dorsi-Serratus Anterior-Rib Free Flap

Abstract: The LD-SA-rib flap provides a large soft-tissue component and a vascularized bone flap for reconstruction of composite large soft-tissue defects with concomitant bone defects of the lower extremity in a one-stage procedure.

Cited by 14 publications

References 24 publications

The versatility of the thoracodorsal artery based composite flaps with vascularized rib and a systematic review of the literature

The versatility of the thoracodorsal artery based composite flaps with vascularized rib and a systematic review of the literature

The Flap Based on the Subscapular Artery: A Cross-sectional Study

The spreaded gracilis flap revisited: Comparing outcomes in lower limb reconstruction

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