Functioning free latissimus dorsi muscle transplantation: anterogradely positioned usage in reconstruction of extensive forearm defect.
We present a patient with successful functional recovery of a severely injured upper extremity after a microneurovascular free latissimus dorsi muscle and combined composite skin were transplanted with an anterograde position. In our patient, the anterogradely positioned usage of the lastissimus muscle offered two major advantages; one advantage was the direct anastomosis of a more proximal healthy uninjured recipient nerve without interpositional nerve graft, and the other, one-stage coverage including the elbow wound with combined scapular skin flap. From our result, we deduce that a neurovascular free latissimus dorsi muscle transplantation with an anterograde position is selectively indicated in functional recovery of an extensively injured forearm.
Park
C
C
Department of Plastic Surgery, Yonsei University College of Medicine, Severance Hospital, Seoul, Korea.
Shin
K S
KS
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005543:Forearm Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D009132:Muscles / Q000637:transplantation; D013524:Surgical Flaps / Q000379:methods*