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摘要:
Amputation is frequently used to treat malignant tumors invading into the shoulder joint. When the vessels and major nerves of the upper arm are preserved, however, the limb may be salvaged with a combined osseous, myocutaneous flap. We reconstructed large defects, which included the shoulder joint, using a vascularized rib-latissmus dorsi combined flap. Ribs were connected via the ninth or tenth posterior intercostal artery. Several slits were cut in the ribs, and the rib was glass stick fractured to straighten it. The thoracodorsal nerve was preserved and the latissmus dorsi muscle was transferred to the defect previously occupied by the biceps humerus. The ribs were connected to the residual clavicle via a Leeds-Keio artificial ligament. The flaps completely engrafted. The patient was able to flex her elbow relatively early postoperatively. The function of the hand was preserved intact. In conclusion, the combined vascularized rib-latissmus dorsi flap is useful for patients who require functional or bony reconstruction of large defects involving the shoulder joint.
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篇名 A New Method of Limb Salvage and Functional Upper Limb Reconstruction
来源期刊 现代整形外科(英文) 学科 医学
关键词 SHOULDER Vascularized RIB Latissmus Dorsi ELBOW FLEXION LIMB SALVAGE
年,卷(期) 2012,(4) 所属期刊栏目
研究方向 页码范围 80-82
页数 3页 分类号 R73
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研究主题发展历程
节点文献
SHOULDER
Vascularized
RIB
Latissmus
Dorsi
ELBOW
FLEXION
LIMB
SALVAGE
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
现代整形外科(英文)
季刊
2164-5213
武汉市江夏区汤逊湖北路38号光谷总部空间
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116
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0
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