Latissimus Dorsi Flap Transfer for Reconstruction of Replanted Upper-Arm Limb.

概要

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Two patients with a transhumeral limb amputation had their limb replanted. In both patients latissimus dorsi myocutaneous flap transfer was performed for reconstruction of unrecovered limb function.Case 1: A 11-year-old boy suffered an avulsion-type amputation of his left upper arm in a traffic accident. One and half years after replantation he achieved useful elbow function and active extension of his wrist and digits but did not recover the function of extrinsic finger flexors. Latissimus dorsi transfer was performed for reconstruction of flexion of digits. Postoperatively he regained powerful hook grip and key pinch.Case 2: A 59-year-old workwoman suffered incomplete amputation of her left upper arm. She lost the elbow flexors and extensors. Latissimus dorsi transfer was performed for elbow flexion. Postoperatively she had 130° of active elbow flexion and lacked 35° of extension.
西日本整形・災害外科学会の論文