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Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors

Resection of tumors affecting the hip abductors can cause significant decrease in muscle strength and may lead to abnormal gait and poor function. We present a case report showing full functional recovery after resection of a synovial sarcoma affecting the right gluteus medius and minimus muscles wi...

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Autores principales: Barrera-Ochoa, Sergi, Collado-Delfa, Jose Manuel, Sallent, Andrea, Lluch, Alejandro, Velez, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640369/
https://www.ncbi.nlm.nih.gov/pubmed/29062663
http://dx.doi.org/10.1097/GOX.0000000000001498
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author Barrera-Ochoa, Sergi
Collado-Delfa, Jose Manuel
Sallent, Andrea
Lluch, Alejandro
Velez, Roberto
author_facet Barrera-Ochoa, Sergi
Collado-Delfa, Jose Manuel
Sallent, Andrea
Lluch, Alejandro
Velez, Roberto
author_sort Barrera-Ochoa, Sergi
collection PubMed
description Resection of tumors affecting the hip abductors can cause significant decrease in muscle strength and may lead to abnormal gait and poor function. We present a case report showing full functional recovery after resection of a synovial sarcoma affecting the right gluteus medius and minimus muscles with reconstruction free neurovascular latissimus dorsi muscle transplantation. The latissimus dorsi muscle was harvested following standard technique and fixed to the ilium and the greater trochanter. Receptor vessels were end-to-end anastomosed to the subscapular vessels followed by an end-to-end epineural suture between the superior gluteal nerve and the thoracodorsal nerve. A year after surgery, there is no evidence of recurrent disease; electromyographic analysis shows complete reinnervation of the latissimus dorsi muscle flap, and the patient has achieved full functional recovery. Free functional latisimus dorsi transfer could be considered as a viable reconstruction technique after hip abductors resection in tumor surgery.
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spelling pubmed-56403692017-10-23 Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors Barrera-Ochoa, Sergi Collado-Delfa, Jose Manuel Sallent, Andrea Lluch, Alejandro Velez, Roberto Plast Reconstr Surg Glob Open Case Report Resection of tumors affecting the hip abductors can cause significant decrease in muscle strength and may lead to abnormal gait and poor function. We present a case report showing full functional recovery after resection of a synovial sarcoma affecting the right gluteus medius and minimus muscles with reconstruction free neurovascular latissimus dorsi muscle transplantation. The latissimus dorsi muscle was harvested following standard technique and fixed to the ilium and the greater trochanter. Receptor vessels were end-to-end anastomosed to the subscapular vessels followed by an end-to-end epineural suture between the superior gluteal nerve and the thoracodorsal nerve. A year after surgery, there is no evidence of recurrent disease; electromyographic analysis shows complete reinnervation of the latissimus dorsi muscle flap, and the patient has achieved full functional recovery. Free functional latisimus dorsi transfer could be considered as a viable reconstruction technique after hip abductors resection in tumor surgery. Wolters Kluwer Health 2017-09-26 /pmc/articles/PMC5640369/ /pubmed/29062663 http://dx.doi.org/10.1097/GOX.0000000000001498 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , 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 without permission from the journal.
spellingShingle Case Report
Barrera-Ochoa, Sergi
Collado-Delfa, Jose Manuel
Sallent, Andrea
Lluch, Alejandro
Velez, Roberto
Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors
title Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors
title_full Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors
title_fullStr Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors
title_full_unstemmed Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors
title_short Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors
title_sort free neurovascular latissimus dorsi muscle transplantation for reconstruction of hip abductors
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640369/
https://www.ncbi.nlm.nih.gov/pubmed/29062663
http://dx.doi.org/10.1097/GOX.0000000000001498
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