Clinical application of the latissimus dorsi musculocutaneous flap with a few muscle in repairing the larger limbs defect
Abstract：Objective To explore the anatomy basis and clinical effect of the latissimus dorsi musculo-cutaneous flap with a few muscle.Methods Based on anatomical study,the latissimus dorsi musculocuta-neous flap with a few muscle was designed and transferred to reconstruct 1 cases of the calcar pedis′s soft tissue defect,2 cases of the dorsum pedis′s soft tissue defect,2 cases of the anticnemion′s soft tissue de-fect,1 case of the whole scalp avulsion injury with large skull exposure.Among these flaps,7 flaps were designed to perforator flap with a few muscle,1 flap was reserving partly thoracodorsal nerve.The flap area ranged from 1 5.0 cm×8.0 cm to 22.0 cm×12.0 cm.Results 7 flaps survived completely,follow-up was performed for 3 to 12 months,the appearance and color of the flaps were satisfaction.Conclusion This kind of the flap has reliable blood supply and could be operated conveniently and safely.It is an ideal method to repair the larger limbs soft-tissue defect.
Keywords：Latissimus dorsi musculocutaneous flapSoft tissue defectMicrosurgeryThoracodor-sal nerveMusculo-cutaneous artery
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 652-654 )