SALVAGE OF EXTENSIVELY BURNED UPPER LIMBS BY A PEDICLED LATISSIMUS-DORSI FLAP

被引:6
作者
DELAY, E
FOYATIER, JL
ELKOLLALI, R
COMPARIN, JP
WEIL, E
LATARJET, J
机构
[1] Plastic Surgery Unit, Léon Bérard Centre Lyon
[2] Burn Unit, Saint Luc Hospital, Lyon
[3] Plastic Surgery Department, Saint Luc Hospital, Lyon
关键词
D O I
10.1016/0305-4179(95)00013-2
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Very deep burns of the arm and elbow lead to soft tissue necrosis and infection with exposure of important structures. Aggressive debridement should be performed as early as possible to cut the vicious circle, and the defect, which may be extensive, should be covered by well-vascularized tissues. The reliability and versatility of the pedicled latissimus dorsi muscle or musculocutaneous flap make it our first choice in the management of this problem. A retrospective study of three patients for whom salvage of the upper limb has been achieved by the Mse of a pedicled latissimus dorsi flap is presented, illustrating the advantages of this technique.
引用
收藏
页码:449 / 452
页数:4
相关论文
共 17 条
  • [1] Luce, Electrical injuries, Plastic Surgery, pp. 814-830, (1990)
  • [2] Butler, Gant, Electrical injuries with special reference to the upper extremities, Am J Surg, 134, (1977)
  • [3] Rouse, Dimick, Treatment of electrical injury compared to burn injury: a review of pathophysiology in comparison of patient management protocols, J Trauma, 18, (1978)
  • [4] Mathes, Nahai, Classification of the vascular anatomy of muscles: experimental and clinical correlation, Plast Reconstr Surg, 67, (1981)
  • [5] Barlett, May, Yaremchuck, The latissimus dorsi muscle a fresh cadaver study of the primary neurovascular pedicle, Plastic and Reconstructive Surgery, 67, (1981)
  • [6] Zook, Bennett, Primary trunk flap coverage of traumatic upper arm defects, J Trauma, 14, (1974)
  • [7] Sbitany, Wray, Use of the rectus abdominis muscle flap to reconstruct an elbow defect, Plast Reconsir Surg, 77, (1986)
  • [8] Burstein, Salomon, Stahl, Elbow joint salvage with the transverse rectus island flap: a new application, Plast Reconstr Surg, 84, (1989)
  • [9] Fisher, External oblique fasciocutaneous flap for elbow coverage, Plast Reconstr Surg, 75, (1985)
  • [10] Moneim, Omer, Latissimus dorsi muscle transfer for restoration of elbow flexion after brachial plexus disruption, The Journal of Hand Surgery, 11 A, (1966)