title: [Tumor-related arthrodesis. Reconstruction of the shoulder contour using a free TRAM (Transverse Rectus Abdominis Musculocutaneous) flap].
abstract: Upper arm bone- and shoulder resection due to cancer have to be performed under oncologic criteria. Soft tissue however may not be sufficient to safely cover a following arthrodeses. To avoid perforation and reconstruct a normal shoulder contour a free myocutaneous TRAM-flap was employed and its vessels anastomosed to branches of A. and V. brachialis. Incorporating the facia and an island of M. rectus abdominis proved to safely cover the arthrodetic material and shape the bulk of the flap, allowing to reconstruct the desired contour. Good vascularisation postoperatively preserved tissue stability and volume and thus safely restored normal shoulder contour even in a long time review.
authors.affiliation: Abteilung Plastische Chirurgie, Krankenhaus Am Urban, Berlin.
authors.forename: J C
authors.initials: JC
authors.lastname: Bruck
authors.forename: U
authors.initials: U
authors.lastname: Weber
mesh_terms: D000009:Abdominal Muscles / Q000637:transplantation; D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D018286:Carcinoma, Giant Cell / Q000601:surgery; D002813:Chondrosarcoma / Q000601:surgery; D005260:Female; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011859:Radiography; D013524:Surgical Flaps