Flow-Through Divided Latissimus Dorsi Musculocutaneous Flap for Large Extremity Defects

被引：8

作者：

Miyamoto, Shimpei ^{[1
]}

Kayano, Shuji ^{[1
]}

Fujiki, Masahide ^{[2
]}

Kamizono, Kenichi ^{[2
]}

Fukunaga, Yutaka ^{[2
]}

Sakuraba, Minoru ^{[2
]}

机构：

[1] Natl Canc Ctr, Div Plast & Reconstruct Surg, Tokyo 1040045, Japan

[2] Natl Canc Ctr Hosp East, Div Plast & Reconstruct Surg, Kashiwa, Chiba, Japan

来源：

ANNALS OF PLASTIC SURGERY | 2015年 / 74卷 / 02期

关键词：

latissimus dorsi; flow-through; divided; sliding; extremity reconstruction; ANTEROLATERAL THIGH FLAP; RECONSTRUCTION; ANATOMY; SYSTEM; PEDICLE;

D O I：

10.1097/SAP.0b013e3182996eaa

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Reconstructing large defects of the extremities is a challenging problem for reconstructive microsurgeons. The latissimus dorsi musculocutaneous flap (LDMCF) is widely used for this purpose, but a skin graft is needed when the defect is wider than available flaps. We used flow-through divided LDMCFs to reconstruct large defects of the extremities in 5 consecutive patients from 2010 through 2012. The semicircular skin island was split longitudinally, and 1 skin island was advanced over the other to close a round or oval defect without a skin graft. Postoperatively, all flaps survived completely, and the mean Enneking score was 90.0%. The flow-through divided LDMCF is a reliable and versatile option for reconstructing large defects of the extremities.

引用

页码：199 / 203

页数：5

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