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Coverage of Amputation Stumps Using a Latissimus Dorsi Flap With a Serratus Anterior Muscle Flap A Comparative Study

Title
Coverage of Amputation Stumps Using a Latissimus Dorsi Flap With a Serratus Anterior Muscle Flap A Comparative Study
Author
황규태
Keywords
amputation; free flaps; latissimus dorsi flaps; serratus anterior flaps; reconstruction
Issue Date
2016-01
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
ANNALS OF PLASTIC SURGERY, v. 76, NO 1, Page. 88-93
Abstract
Amputation of the extremities is a definitive reconstructive option, and surgeons should aim to preserve maximum overall function. If the exposed bone cannot be adequately covered using local tissues, the stump can be reconstructed using a number of well-described free flap transfer techniques. Between January 2002 and December 2011, 31 patients with severe injuries to the lower extremities underwent above-the-knee, below-the-knee, and Chopart and Ray amputations. Bony stumps were covered using latissimus dorsi myocutaneous flaps alone (group 1), or together with serratus anterior muscle flaps (group 2). The groups were compared with respect to age, flap survival, skin flap size, immediate complications, wound sloughing, deep ulceration, need for bone amputation, limb visual analog scale score, time to prosthesis, and follow-up duration. The mean area of the latissimus dorsi skin flap was 255.9 cm(2), and immediate complications occurred in 8 (25.8%) patients. In the double-padding group, there were fewer cases of deep ulceration than in the single-flap group, and prostheses could be worn sooner. There were no statistically significant differences in other parameters. Successful reconstruction of amputation stumps requires an adequate, durable, weight-bearing, and well-contoured soft tissue cover. A latissimus dorsi musculocutaneous flap together with a serratus anterior muscle flap provides well-vascularized muscle tissue and a durable skin paddle, leading to less ulceration than conventional flap techniques.
URI
http://pt.wkhealth.com/pt/re/lwwgateway/landingpage.htm;jsessionid=hT1RphgG3qXwNPt3Lwqd6kXm7QC5hnX1y2JknScPdnpnk3kYqGbp!2045564855!181195628!8091!-1?sid=WKPTLP:landingpage&an=00000637-201601000-00019http://hdl.handle.net/20.500.11754/31732
ISSN
0148-7043; 1536-3708
DOI
10.1097/SAP.0000000000000220
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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