Flow-through divided latissimus dorsi musculocutaneous flap for large extremity defects

Shimpei Miyamoto, Shuji Kayano, Masahide Fujiki, Kenichi Kamizono, Yutaka Fukunaga, Minoru Sakuraba

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Reconstructing large defects of the extremities is a challenging problem for reconstructive microsurgeons. The latissimus dorsi musculocutaneous flap (LDMCF) is widely used for this purpose, but a skin graft is needed when the defect is wider than available flaps. We used flow-through divided LDMCFs to reconstruct large defects of the extremities in 5 consecutive patients from 2010 through 2012. The semicircular skin island was split longitudinally, and 1 skin island was advanced over the other to close a round or oval defect without a skin graft. Postoperatively, all flaps survived completely, and the mean Enneking score was 90.0%. The flow-through divided LDMCF is a reliable and versatile option for reconstructing large defects of the extremities.

Original languageEnglish
Pages (from-to)199-203
Number of pages5
JournalAnnals of Plastic Surgery
Volume74
Issue number2
DOIs
Publication statusPublished - Jan 1 2015

All Science Journal Classification (ASJC) codes

  • Surgery

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    Miyamoto, S., Kayano, S., Fujiki, M., Kamizono, K., Fukunaga, Y., & Sakuraba, M. (2015). Flow-through divided latissimus dorsi musculocutaneous flap for large extremity defects. Annals of Plastic Surgery, 74(2), 199-203. https://doi.org/10.1097/SAP.0b013e3182996eaa