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Titolo:
THE LATISSIMUS-DORSI SCAPULAR BONE FLAP (THE LATISSIMUS BONE FLAP)
Autore:
ALLEN RJ; DUPIN CL; DRESCHNACK PA; GLASS CA; MAHONDERI B;
Indirizzi:
LOUISIANA STATE UNIV,MED CTR,SCH MED,DEPT SURG,PLAST SURG SECT,UNIV MED PLAZA,SUITE 612 NEW ORLEANS LA 70112
Titolo Testata:
Plastic and reconstructive surgery
fascicolo: 7, volume: 94, anno: 1994,
pagine: 988 - 996
SICI:
0032-1052(1994)94:7<988:TLSBF(>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
MYOCUTANEOUS FREE-FLAP; FREE SCAPULAR FLAP; PARASCAPULAR FLAP; FOREARM FLAP; HAND; RECONSTRUCTION; ANASTOMOSES; MANAGEMENT; COVERAGE; GRAFTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
R.J. Allen et al., "THE LATISSIMUS-DORSI SCAPULAR BONE FLAP (THE LATISSIMUS BONE FLAP)", Plastic and reconstructive surgery, 94(7), 1994, pp. 988-996

Abstract

During the past 4 years, our trauma and reconstructive service has treated a number of patients with lower extremity trauma involving the loss of both soft tissue and significant segments of tibia. While thereare many methods for reconstruction of such defects, we became interested in providing a one-stage reconstruction of both the soft tissues and the missing bone segments. Since our standard flap for lower extremity reconstruction is a latissimus dorsi flap, we became interested in transferring a portion of the lateral border of the scapula along with the latissimus muscle. We dissected 34 cadaver scapulas in order toverify the reliability of the blood supply to the lateral border of the scapula based on the thoracodorsal artery. We then performed 12 ''latissimus/bone flaps'' from 1988 to 1992. Prior to flap transfer, control of the wound was obtained with surgical debridement and aggressivewound management. The nap usually was per formed 5 to 7 days after initial contact with the patient. The muscle was skin grafted. All patients reported are ambulating, with x-ray evidence of bony incorporationof the transferred bone segment into the tibia. We feel that inclusion of the lateral scapula bone with the latissimus dorsi is a useful adjunct in the management of lower extremity trauma.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:16:59