Cargando…

Pedicled Functional Latissimus Flaps for Reconstruction of the Upper Extremity following Resection of Soft-Tissue Sarcomas

(1) Background: Resection of soft-tissue sarcomas (STS) of the upper extremity can result in substantial functional impairment with limited options for functional reconstruction. Free functional latissimus flaps have been utilized to restore function of the thigh; however, there is limited data on t...

Descripción completa

Detalles Bibliográficos
Autores principales: Arguello, Alexandra M., Sullivan, Mikaela H., Mills, Gavin L., Moran, Steven L., Houdek, Matthew T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047364/
https://www.ncbi.nlm.nih.gov/pubmed/36975450
http://dx.doi.org/10.3390/curroncol30030237
_version_ 1785013903544025088
author Arguello, Alexandra M.
Sullivan, Mikaela H.
Mills, Gavin L.
Moran, Steven L.
Houdek, Matthew T.
author_facet Arguello, Alexandra M.
Sullivan, Mikaela H.
Mills, Gavin L.
Moran, Steven L.
Houdek, Matthew T.
author_sort Arguello, Alexandra M.
collection PubMed
description (1) Background: Resection of soft-tissue sarcomas (STS) of the upper extremity can result in substantial functional impairment with limited options for functional reconstruction. Free functional latissimus flaps have been utilized to restore function of the thigh; however, there is limited data on the use of latissimus flaps for functional reconstruction in the upper extremity. As such, we sought to evaluate our institutional experience with these flaps. (2) Methods: We reviewed ten (seven male; three female; and a mean age of 63 years) patients undergoing soft-tissue sarcoma resection involving the triceps (n = 4), biceps (n = 4), and deltoid (n = 2) reconstructed with a pedicled functional latissimus flap. All surviving patients had at least 1 year of follow-up, with a mean follow-up of 5 years. (3) Results: The mean elbow range of motion and shoulder elevation were 105° and 150°. The mean Musculoskeletal Tumor Society score was 88%, and the muscle strength was four. Four patients had a recipient site wound complication. There were no flap losses. One patient sustained a radiation-associated humerus fracture 5 years postoperatively, treated nonoperatively. (4) Conclusions: Although early complications are high, pedicled functional latissimus flaps allow for wound coverage, potential space obliteration, and restoration of function in the upper extremity following resection of large soft tissue sarcomas.
format Online
Article
Text
id pubmed-10047364
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100473642023-03-29 Pedicled Functional Latissimus Flaps for Reconstruction of the Upper Extremity following Resection of Soft-Tissue Sarcomas Arguello, Alexandra M. Sullivan, Mikaela H. Mills, Gavin L. Moran, Steven L. Houdek, Matthew T. Curr Oncol Article (1) Background: Resection of soft-tissue sarcomas (STS) of the upper extremity can result in substantial functional impairment with limited options for functional reconstruction. Free functional latissimus flaps have been utilized to restore function of the thigh; however, there is limited data on the use of latissimus flaps for functional reconstruction in the upper extremity. As such, we sought to evaluate our institutional experience with these flaps. (2) Methods: We reviewed ten (seven male; three female; and a mean age of 63 years) patients undergoing soft-tissue sarcoma resection involving the triceps (n = 4), biceps (n = 4), and deltoid (n = 2) reconstructed with a pedicled functional latissimus flap. All surviving patients had at least 1 year of follow-up, with a mean follow-up of 5 years. (3) Results: The mean elbow range of motion and shoulder elevation were 105° and 150°. The mean Musculoskeletal Tumor Society score was 88%, and the muscle strength was four. Four patients had a recipient site wound complication. There were no flap losses. One patient sustained a radiation-associated humerus fracture 5 years postoperatively, treated nonoperatively. (4) Conclusions: Although early complications are high, pedicled functional latissimus flaps allow for wound coverage, potential space obliteration, and restoration of function in the upper extremity following resection of large soft tissue sarcomas. MDPI 2023-03-07 /pmc/articles/PMC10047364/ /pubmed/36975450 http://dx.doi.org/10.3390/curroncol30030237 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Arguello, Alexandra M.
Sullivan, Mikaela H.
Mills, Gavin L.
Moran, Steven L.
Houdek, Matthew T.
Pedicled Functional Latissimus Flaps for Reconstruction of the Upper Extremity following Resection of Soft-Tissue Sarcomas
title Pedicled Functional Latissimus Flaps for Reconstruction of the Upper Extremity following Resection of Soft-Tissue Sarcomas
title_full Pedicled Functional Latissimus Flaps for Reconstruction of the Upper Extremity following Resection of Soft-Tissue Sarcomas
title_fullStr Pedicled Functional Latissimus Flaps for Reconstruction of the Upper Extremity following Resection of Soft-Tissue Sarcomas
title_full_unstemmed Pedicled Functional Latissimus Flaps for Reconstruction of the Upper Extremity following Resection of Soft-Tissue Sarcomas
title_short Pedicled Functional Latissimus Flaps for Reconstruction of the Upper Extremity following Resection of Soft-Tissue Sarcomas
title_sort pedicled functional latissimus flaps for reconstruction of the upper extremity following resection of soft-tissue sarcomas
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047364/
https://www.ncbi.nlm.nih.gov/pubmed/36975450
http://dx.doi.org/10.3390/curroncol30030237
work_keys_str_mv AT arguelloalexandram pedicledfunctionallatissimusflapsforreconstructionoftheupperextremityfollowingresectionofsofttissuesarcomas
AT sullivanmikaelah pedicledfunctionallatissimusflapsforreconstructionoftheupperextremityfollowingresectionofsofttissuesarcomas
AT millsgavinl pedicledfunctionallatissimusflapsforreconstructionoftheupperextremityfollowingresectionofsofttissuesarcomas
AT moranstevenl pedicledfunctionallatissimusflapsforreconstructionoftheupperextremityfollowingresectionofsofttissuesarcomas
AT houdekmatthewt pedicledfunctionallatissimusflapsforreconstructionoftheupperextremityfollowingresectionofsofttissuesarcomas