Application of latissimus dorsi flap in different forms in repair of skin and soft tissue defects in lower extremities
Author(s): ZHANG Pi-hong, HUANG Xiao-yuan, LONG Lian-hong, FAN Peng-ju, REN Lie-cheng, ZENG Ji-zhang, XIAO Mu-zhang
Pages: 18-21
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Surgical flaps; Lower extremity; Soft tissue injuries; Repair;
Abstract: Objective To explore repair methods of skin and soft tissue defects in lower extremities with free latissimus dorsi flaps. Methods Forty-two patients with wounds and soft tissue defects in lower extremities, including 4 cases on knee, 22 cases on leg, 15 cases on ankle and foot, 1 case with extensive a-vulsion from knee to dorsum of foot, were hospitalized in our unit from February 1996 to February 2008. Wounds or soft tissue defects were respectively repaired with latissimus dorsi musculoeutaneous flaps, latissi-mus dorsi muscle flaps, latissimus dorsi perforator flaps with preserved vascular sleeves, 2 double-leaf seg-mental latissimus dorsi compound flaps after debridement. The flaps ranged from 18 cm×8 cm to 40 cm×18 cm in size. The donor sites were covered by skin grafting in 19 cases. Results All wounds were healed primarily except vascular crisis occurred in 3 cases, partial necrosis of skin at donor site in 2 cases, and graft site(1 case). Follow-up for 3 to 24 months of 31 patients showed: six cases received two-stage plastic operation on account of bulkiness with trouble in wearing shoes, and mild contraction of muscular flap in 3 cases. Conclusions Latissimus dorsi flap in various forms can be satisfactory for repair of large skin and soft tissue defects in lower extremities.
Pages: 18-21
Year: 2009 Issue: 1
Journal: Chinese Journal of Burns
Keyword: Surgical flaps; Lower extremity; Soft tissue injuries; Repair;
Abstract: Objective To explore repair methods of skin and soft tissue defects in lower extremities with free latissimus dorsi flaps. Methods Forty-two patients with wounds and soft tissue defects in lower extremities, including 4 cases on knee, 22 cases on leg, 15 cases on ankle and foot, 1 case with extensive a-vulsion from knee to dorsum of foot, were hospitalized in our unit from February 1996 to February 2008. Wounds or soft tissue defects were respectively repaired with latissimus dorsi musculoeutaneous flaps, latissi-mus dorsi muscle flaps, latissimus dorsi perforator flaps with preserved vascular sleeves, 2 double-leaf seg-mental latissimus dorsi compound flaps after debridement. The flaps ranged from 18 cm×8 cm to 40 cm×18 cm in size. The donor sites were covered by skin grafting in 19 cases. Results All wounds were healed primarily except vascular crisis occurred in 3 cases, partial necrosis of skin at donor site in 2 cases, and graft site(1 case). Follow-up for 3 to 24 months of 31 patients showed: six cases received two-stage plastic operation on account of bulkiness with trouble in wearing shoes, and mild contraction of muscular flap in 3 cases. Conclusions Latissimus dorsi flap in various forms can be satisfactory for repair of large skin and soft tissue defects in lower extremities.
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