Utilisation de lambeaux libres dans la reconstruction des membres inférieurs chez l’enfant

Latissimus dorsi muscle flap for lower extremity reconstruction in children

“…Several studies reported free latissimus dorsi muscle flap survival rates of 100% in children, but the authors report only small series of patients (1-4 children). 5,6,8 In larger studies (5-12 children) a free latissimus dorsi muscle flap survival rate of 67 to 80% has been reported. 1,3,7,8 In our study we found one partial and three complete free-flap losses.…”

“…5,6,8 In larger studies (5-12 children) a free latissimus dorsi muscle flap survival rate of 67 to 80% has been reported. 1,3,7,8 In our study we found one partial and three complete free-flap losses. The partial loss resulting from venous malperfusion underwent surgical revision in which the venous anastomosis was redone.…”

“…1,3,[7][8][9]14 In this study we describe a group of traumatized children of which 93% suffered a traffic or lawnmower accident. Only one case is described in which a defect elevator door caused a subtotal amputation of the forefoot.…”

Muscle-sparing latissimus dorsi flap for inferior limbÓ?s defects reconstruction in children

“…The flaps most often described for lower limb reconstruction are those of anterior serratus, rectus abdominis and latissimus dorsi 1,11,12 . The latissimus dorsi flap is one of the most widely used in microsurgery 13 , although it has the disadvantage of producing a functional deficit in the upper extremity, with loss of extension, adduction and internal rotation of the arm [14][15][16] , in addition to the esthetic alterations it causes at the donor site, such as the scar and thoracic silhouette shape change 17,18 .…”