Use of pedicled latissimus dorsi myocutaneous flap to reconstruct the upper limb with large soft tissue defects.

摘要: Abstract Objective To report the technique of reconstruction large skin and soft tissue defects in upper extremity using pedicled latissimus dorsi myocu-taneous flaps. Methods Six patients with were included this report. There 5 trauma rest one needed to receive plastic surgery for his scar. All wounds extremity. The sizes ranged from 15 cmx6 cm 30 cmx18 cm. Pedicled myocutaneous flaps designed according defect area raised part latissi-mus dorsi. thoracodorsal artery its perforators carefully protected during surgery. Results healed primarily without flap congestion, margin necrosis or infection. donor sites either received split-thickness graft (3 cases, mostly anterior thigh) was closed cases) had minimal morbidity. Follow-up 6-12 months showed that contour aesthetic function limb excellent. Conclusion Our experience indicates is favorable