title: Free latissimus dorsi muscle flap with skin graft for treatment of traumatic chronic bony wounds.
abstract: Based on this review of 35 cases of chronic bony wounds, it would appear that the free-muscle flap method of wound closure and nourishment after thorough dead bone debridement is an attractive and successful alternative to local skin flaps, staged skin flaps, or extend skin-muscle flaps in areas where reliable muscle flaps are not available. It would also seem that the latissimus dorsi muscle flap with skin graft is an ideal donor-muscle transfer with features allowing a favorable and contoured surface in the recipient site and minimal aesthetic and functional deformity in the donor site.
mesh_terms: D000293:Adolescent; D000328:Adult; D001842:Bone and Bones / Q000293:injuries* / Q000601:surgery; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D005360:Fibula / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007871:Leg Ulcer / Q000601:surgery; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery; D011183:Postoperative Complications; D016038:Skin Transplantation; D012886:Skull / Q000601:surgery; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000601:surgery; D013997:Time Factors