scholarly journals The Usefulness of the Two-Staged Pedicled Latissimus Dorsi (LD) Flap in Fourth-Degree Burns of Upper Extremity

2021 ◽  
Vol 24 (2) ◽  
pp. 68-73
Author(s):  
Jae Hyun Kim ◽  
Seong Hoon Seol ◽  
Chan Min Chung ◽  
Myong Chul Park ◽  
Sang Hun Cho
Keyword(s):  
Upper Extremity ◽  
Latissimus Dorsi ◽  
Fourth Degree

Closure of Myelorachischisis Defects with Reverse Latissimus Dorsi Myocutaneous Flaps

Neurosurgery ◽  
1982 ◽  
Vol 11 (3) ◽  
pp. 423-425 ◽  
Author(s):  
Dorothy H. Clark ◽  
John W. Walsh ◽  
Edward A. Luce
Keyword(s):  
Upper Extremity ◽  
Latissimus Dorsi ◽  
Muscle Flap ◽  
Muscle Layer ◽  
Latissimus Dorsi Muscle ◽  
Muscle Flaps ◽  
Extensive Experience ◽  
Dorsi Muscle ◽  
Extremity Function ◽  
Upper Extremity Function

Abstract The closure of myelorachischisis defects has been difficult and at times complicated. Over the past 2 decades, the use of rotational advancement flaps has been increasingly popular, but can be attended by instances of skin ischemia and necrosis. The development of the myocutaneous and muscle flap concept has aided reconstructive surgery. Extensive experience with the useful latissimus dorsi flap with and without overlying skin has been obtained for the reconstruction of a variety of truncal defects. We describe the use of bilateral “reverse” latissimus dorsi muscle flaps based on the paraspinal perforators for the closure of myelorachischisis defects in two patients. Coverage was uneventful in both instances. A 2-year follow-up revealed no compromise of upper extremity function due to sacrifice of the latissimus dorsi muscles. We offer an approach to the problem of closure of large myelorachischisis defects: bilateral reverse latissimus dorsi muscle flaps and delayed skin coverage. This approach seems to offer a good muscle layer over the dural closure and to provide long-standing durable coverage without apparent compromise of upper extremity function.

Latissimus Dorsi Pedicled Flap for Upper Extremity Soft-Tissue Reconstruction

Orthopedics ◽  
2002 ◽  
Vol 25 (4) ◽  
pp. 403-408
Author(s):  
Richard A Rogachefsky ◽  
Ali Aly ◽  
Wayne Brearley
Keyword(s):  
Soft Tissue ◽  
Upper Extremity ◽  
Latissimus Dorsi ◽  
Pedicled Flap ◽  
Soft Tissue Reconstruction ◽  
Tissue Reconstruction
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