| Title | Latissimus dorsi pedicle flap for coverage of soft tissue defects about the elbow. |
| Author(s) | Stevanovic M, Sharpe F, Thommen VD, Itamura JM, Schnall SB |
| Institution | Department of Orthopedics, University of Southern California, Los Angeles County Medical Center, USA. |
| Source | J Shoulder Elbow Surg 1999 Nov-Dec; 8(6):634-43. |
| MeSH | Adolescent
Adult
Aged
Arthroplasty, Replacement
Elbow
Elbow Joint
Female
Humans
Male
Middle Aged
Retrospective Studies
Soft Tissue Injuries
Surgical Flaps
Surgical Wound Dehiscence
|
| Abstract | Sixteen consecutive patients who were treated with a pedicled latissimus dorsi flap for complex soft tissue defects about the elbow were reviewed. The average defect size was 100 cm2. Thirteen of the 16 patients achieved stable wound healing with a single procedure. Three patients had partial necrosis of the latissimus and required additional coverage procedures. We recommend that the latissimus dorsi flap should not be routinely used to cover defects more than 8 cm distal to the olecranon. The flap should be closely monitored in the first 48 hours, drains should be routinely used at the recipient and donor sites, and the elbow should be maintained in an extended position for the first 5 days after the procedure. The latissimus dorsi flap may also have a prophylactic role in selected patients with compromised soft tissue coverage about the elbow. The pedicled latissimus flap can be performed under loupe magnification and requires no microsurgical skills or equipment. |
| Language | eng |
| Pub Type(s) | Case Reports
Journal Article
|
| PubMed ID | 10633903 |
