title: Improved shoulder contour following forequarter amputation with an osteomyocutaneous free flap from the amputated extremity: two cases.
abstract: To cover a large soft-tissue defect and to reconstruct the shoulder contour after forequarter amputation, we used an osteomyocutaneous free flap incorporating an elbow joint from the amputated extremity in two patients. These flaps were well vascularised and reliable. They provided excellent coverage of large soft-tissue defects and they maintained shoulder contours. This procedure is useful for reconstruction after extended forequarter amputation and chest wall resection.
authors.affiliation: Department of Orthopaedic Surgery, Yamagata University School of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan. osanait@med.id.yamagata-u.ac.jp
authors.forename: T
authors.initials: T
authors.lastname: Osanai
authors.forename: H
authors.initials: H
authors.lastname: Kashiwa
authors.forename: A
authors.initials: A
authors.lastname: Ishikawa
authors.forename: M
authors.initials: M
authors.lastname: Takahara
authors.forename: T
authors.initials: T
authors.lastname: Ogino
mesh_terms: D000293:Adolescent; D000671:Amputation, Surgical / Q000379:methods*; D001859:Bone Neoplasms / Q000601:surgery; D001943:Breast Neoplasms / Q000601:surgery; D003238:Connective Tissue / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012516:Osteosarcoma / Q000601:surgery; D003557:Phyllodes Tumor / Q000601:surgery; D012782:Shoulder / Q000601:surgery*; D013524:Surgical Flaps