Flow-through, functioning, free musculocutaneous flap transfer for restoration of a mangled extremity
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, vol.21, no.3, pp.167-172, 2005 (SCI-Expanded)
- Publication Type: Article / Article
- Volume: 21 Issue: 3
- Publication Date: 2005
- Doi Number: 10.1055/s-2005-869822
- Journal Name: JOURNAL OF RECONSTRUCTIVE MICROSURGERY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Page Numbers: pp.167-172
- Keywords: lower-extremity reconstruction, flow-through latissimus dorsi flap, functional transfer, FREE MUSCLE TRANSPLANTATION, SOFT-TISSUE DEFECTS, FOREARM FREE FLAP, BREAST RECONSTRUCTION, SIMULTANEOUS COVERAGE, FACIAL PARALYSIS, PERFORATOR FLAP, UPPER ARM, REVASCULARIZATION, ARTERY
- Akdeniz University Affiliated: Yes
Abstract
Reconstructing a mangled extremity requires careful, complete examination of the functional and structural status of the injured part. Although the vascular status of the injured extremity is a priority, simultaneous reconstruction of skeletal, vascular, and neuromuscular structures should be considered in a combined approach. The purpose of this study was to describe a one-stage reconstruction of both soft-tissue coverage and revascularization for a lower extremity, along with functional restoration of an anterior lower leg. For this purpose, the functioning transfer of a free latissimus dorsi musculocutaneous flap as a flow-through type was performed. The results demonstrate that the technique is extremely useful in limb-salvage procedures from both functional and structural viewpoints.