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Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage

SUMMARY: Posttraumatic upper or lower limb salvage is still challenging. Under difficult situations in which only one vessel supplies the hand or foot, free microvascular reconstruction might damage not only the transferred tissue but also the terminal hand or foot. Two cases of incomplete amputatio...

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Autores principales: Shiokawa, Ichiro, Minabe, Toshiharu, Momosawa, Akira, Mashiko, Takanobu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292249/
https://www.ncbi.nlm.nih.gov/pubmed/25587501
http://dx.doi.org/10.1097/GOX.0000000000000232
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author Shiokawa, Ichiro
Minabe, Toshiharu
Momosawa, Akira
Mashiko, Takanobu
author_facet Shiokawa, Ichiro
Minabe, Toshiharu
Momosawa, Akira
Mashiko, Takanobu
author_sort Shiokawa, Ichiro
collection PubMed
description SUMMARY: Posttraumatic upper or lower limb salvage is still challenging. Under difficult situations in which only one vessel supplies the hand or foot, free microvascular reconstruction might damage not only the transferred tissue but also the terminal hand or foot. Two cases of incomplete amputation of the unilateral forearm with large radius bone and soft tissue loss were reconstructed using a newly-refined pedicled osteomyocutaneous flap including vascularized rib, lateral part of the latissimus dorsi muscle, and skin as a lateral chest flap. After insetting of the flap, the transferred limb is fixed with a soft bandage, and the flap is divided no less than 4 weeks after the first operation. The flap completely survived, and bone union between the rib and radius was observed. Although our treatment needed a two-stage procedure, safe and secure reconstruction with an appropriate amount of tissue for salvage was accomplished.
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spelling pubmed-42922492015-01-13 Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage Shiokawa, Ichiro Minabe, Toshiharu Momosawa, Akira Mashiko, Takanobu Plast Reconstr Surg Glob Open Case Reports SUMMARY: Posttraumatic upper or lower limb salvage is still challenging. Under difficult situations in which only one vessel supplies the hand or foot, free microvascular reconstruction might damage not only the transferred tissue but also the terminal hand or foot. Two cases of incomplete amputation of the unilateral forearm with large radius bone and soft tissue loss were reconstructed using a newly-refined pedicled osteomyocutaneous flap including vascularized rib, lateral part of the latissimus dorsi muscle, and skin as a lateral chest flap. After insetting of the flap, the transferred limb is fixed with a soft bandage, and the flap is divided no less than 4 weeks after the first operation. The flap completely survived, and bone union between the rib and radius was observed. Although our treatment needed a two-stage procedure, safe and secure reconstruction with an appropriate amount of tissue for salvage was accomplished. Wolters Kluwer Health 2015-01-08 /pmc/articles/PMC4292249/ /pubmed/25587501 http://dx.doi.org/10.1097/GOX.0000000000000232 Text en Copyright © 2014 The Authors. Published by Lippincott Williams & Wilkins on behalf of The American Society of Plastic Surgeons. PRS Global Open is a publication of the American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Case Reports
Shiokawa, Ichiro
Minabe, Toshiharu
Momosawa, Akira
Mashiko, Takanobu
Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage
title Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage
title_full Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage
title_fullStr Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage
title_full_unstemmed Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage
title_short Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage
title_sort muscular pedicled lateral chest composite flap—a new nonmicrosurgical option for forearm salvage
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292249/
https://www.ncbi.nlm.nih.gov/pubmed/25587501
http://dx.doi.org/10.1097/GOX.0000000000000232
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