Latissimus dorsi pedicle flap for coverage of soft tissue defects about the elbow

Stevanović, Milan; Sharpe, Frances; Thommen, V D; Itamura, John M.; Schnall, Stephen B.

doi:10.1016/s1058-2746(99)90104-0

Cited by 37 publications

(34 citation statements)

References 29 publications

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“…It is successfully used for reconstructive operations in the regions of head and neck (2,3), back (5,6,9) and upper extremity (16), too. In accordance with the individual needs of the reconstruction, LDF size can be further augmented by its preliminary expansion (5).…”

Section: Discussionmentioning

confidence: 99%

Application of the pedicled m. latissimus dorsi flap for trunk reconstructions

Yankov

Zayakova

Hristov

et al. 2013

SSM

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PURPOSE: M. latissimus dorsi flap is one of the most commonly used pedicled flaps in plastic surgery. It can be based either on the dominant thoracodorsal vessels, or, as a reverse flap, on its secondary segmental pedicles. The purpose of this paper is to evaluate our experience with pedicled flaps from m. latissimus dorsi for trunk reconstructions. MATERIAL AND METHODS:In the present study, we applied eight flaps on 7 patients: four flaps for breast reconstruction, one flap for postmastectomy radiation wound treatment, one flap to cover a defect on the anterior thoracic wall caused by toxic skin necrosis, one flap to correct axillary skin contracture after deep burn injury, and one for lumbar reconstruction after malignant melanoma radical excision. RESULTS: In the present paper, two cases with application of this flap were reported to illustrate the stages of the surgical technique. All the flaps were vital and adapted normally. Narrow partial skin necrosis and donor scar depression were observed in the largest skin-muscle flap only. CONCLUSION: M. latissimus dorsi pedicled flaps are reliable source for trunk reconstructions. They may transfer abundant plastic material to compensate tissue deficit of different etiology. The risk of complications is insignificant, whereas the patients' quality of life is considerably improved.

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Section: Discussionmentioning

confidence: 99%

Application of the pedicled m. latissimus dorsi flap for trunk reconstructions

Yankov

Zayakova

Hristov

et al. 2013

SSM

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“…For coverage around the elbow, it has been shown in anatomical and clinical studies to reach 6 to 8 cm distal to the olecranon as a rotational flap. 53,54 The latissimus dorsi is particularly useful when the patient's zone of injury prevents the use of local tissue for soft-tissue coverage and for large softtissue defects. The neurovascular supply to this muscle allows the latissimus to also be rotated as a functional muscle transfer to restore biceps or triceps function independently or in combination with soft-tissue coverage.…”

Section: Distant Muscle Rotational Flap: Latissimus Dorsimentioning

confidence: 99%

“…The neurovascular supply to this muscle allows the latissimus to also be rotated as a functional muscle transfer to restore biceps or triceps function independently or in combination with soft-tissue coverage. [53][54][55][56][57][58][59][60][61][62][63][64][65][66] Absolute contraindications for this flap are patient conditions that require use of crutches or a wheelchair. Paraplegia, severe lower extremity injuries, ipsilateral shoulder girdle weakness, previous operations about the shoulder girdle, previous trauma affecting the subclavian or axillary artery, tumor resection, or lymph node dissection in the area of the thoracodorsal artery and nerve are contraindications.…”

Section: Distant Muscle Rotational Flap: Latissimus Dorsimentioning

confidence: 99%

Soft-Tissue Coverage of the Elbow

Stevanović

Sharpe

2013

Plastic and Reconstructive Surgery

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The elbow requires a durable and pliable soft-tissue envelope. Injuries, infections, or tumors that result in exposed tendon, bone, or implants require expedient soft-tissue coverage. Familiarity with various options for coverage can help tailor treatment to the defect size and minimize donor-site morbidity. In this article, emphasis is placed on muscle and fasciocutaneous flaps that have been shown to have reliable vascularity and predictable outcomes.

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“…The latissimus dorsi flap can reach up to 6 to 8 cm distal to the olecranon and can be used as a pedicelled flap for elbow reconstruction [16,17]. But the pedicelled latissimus dorsi flap was reported to have the highest complication rate when it is used as the soft tissue coverage of elbow defects [18].…”

Section: Introductionmentioning

confidence: 99%

Medial elbow reconstruction with perforator based medial arm propeller flap

Uslu¹,

Sürücü²,

Korkmaz³

et al. 2017

Hand Microsurg

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A perforator-based medial arm propeller flap was planned from the medial arm region near the medial elbow soft tissue defect as an alternative flap. The flap was elevated and rotated by 180˚ to the defect based on the perforator. The perforator-based medial arm propeller flap should be considered as an option for reconstruction of medial elbow soft-tissue defects. The flap is easy to harvest, the operation is quick, the donor area scar is well-hidden, and the skin in this area is elastic. However, in the proximal forearm region, a flap may not be safe enough.

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Latissimus dorsi pedicle flap for coverage of soft tissue defects about the elbow

Cited by 37 publications

References 29 publications

Application of the pedicled m. latissimus dorsi flap for trunk reconstructions

Application of the pedicled m. latissimus dorsi flap for trunk reconstructions

Soft-Tissue Coverage of the Elbow

Medial elbow reconstruction with perforator based medial arm propeller flap

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