Latissimus Dorsi Flap to Restore the Function of the Upper Limb.

概要

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We experienced treating 7 cases with the latissimus dorsi flap to restore the upper limb. The operation was performed in 4 cases to restore elbowflexion, 1 case to restore elbow extension, and 1 case to restore finger extension.The 7 cases were used as the musculcocutaneous flap. All of these cases survived completely. After the operation active flexion of the elbow in 4 cases with elbow flexion reconstruction was measured between 100° and 130°, and active extension between -10 and -35°. In the case with restoration of elbow extension, the range of motion after the operation was between -5° of extension and 125° of flexion.In the case with restoration of the finger extension, the pinch power after operation was stronger then it was before operation.I think that latissimus dorsi flap is the best musculocutaneous flap for the reconstruction of the elbow and the finger.