Functional donor-site morbidity following (osteo-) fasciocutaneous parascapular flap transfer

Problem: The parascapular flap is extremely versatile in the armamentarium of the plastic surgeon. However, little is known about the donor-site morbidity. Our purpose was to investigate limitations and problems arising at the donor site of parascapular flaps. Methods: Twenty patients with free parascapular flaps were followed up over a period of 3 years. Donor-site morbidity was evaluated using standardized evaluation forms. Constant score was calculated to judge shoulder function, SF-36 score was used to evaluate patient satisfaction. Results: All flaps survived in our series. In 2 patients, delayed wound healing was recorded at the donor site. In 3 patients, shoulder function was limited. In I patient, the brachial plexus was affected, and another had preexisting rotator cuff disease. Scar dimensions varied considerably; however, cosmetic aspects of the donor site were not a complaint. Discussion: This is the first report evaluating donor-site morbidity of parascapular flaps. Limitations in shoulder function are low if correct operative technique with refixation of the musculature is maintained. In general, patients did not have any complaints about the cosmetic appearance of the donor site.