Functional latissimus dorsi island pedicle musculocutaneous flap to restore elbow flexion in replantation or revascularisation of above-elbow amputations.
Two total and one subtotal above-elbow amputations had replantation or revascularization for their severely damaged upper extremities followed by functional latissimus dorsi island pedicle musculocutaneous flap to restore elbow flexion. The mean follow-up was 68 months (range: 14 to 121 months). At final follow-up examinations, the patients had sufficient range-of-motion of their elbows with good strength. Restoring elbow function eliminates one of the most important limiting factors for above-elbow replantations. Functional latissimus dorsi island pedicle musculocutaneous flap is very reliable, has minimal donor-site morbidity and offers a wider choice when deciding about arm replantation in the upper arm region by providing a chance of restoring functions.
Parmaksizoglu
F
F
Department of Orthopaedics and Traumatology, Yeditepe University, Faculty of Medicine, Istanbul, Turkey. tbeyzade@superonline.com
Beyzadeoglu
T
T
D000062:Accidents, Occupational; D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D001134:Arm Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D004550:Elbow / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008866:Microsurgery / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D011826:Radial Nerve / Q000293:injuries / Q000601:surgery; D020425:Radial Neuropathy / Q000000981:diagnostic imaging / Q000503:physiopathology; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D012086:Reoperation; D012092:Replantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D000092464:Elbow Injuries