Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Complications of Donor Site in Latissimus Dorsi Muscle Flap

광배근 피판의 공여부에 대한 문제점의 분석

  • Chung, Duke-Whan (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
  • Han, Chung-Soo (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
  • Cho, Chang-Hyun (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University)
  • 정덕환 (경희대학교 의과대학 정형외과학교실) ;
  • 한정수 (경희대학교 의과대학 정형외과학교실) ;
  • 조창현 (경희대학교 의과대학 정형외과학교실)
  • Published : 1999.10.30
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Abstract

Purpose : To investigate the complication of donor site in latissimus dorsi muscle flap. Materials and Methods : From April 1983 to March 1999, forty patients with latissimus dorsi muscle flap for reconstruction of extremity and with a follow-up period of more than 12 months were included. We analysed the complication, shoulder function, degree of shoulder muscle weakness, skin scar width after operation. Results After 1 year, skin scar widening in 12 cases(30%), limitation of shoulder motion in 9 cases(12.5%), muscle weakness in 14 cases(17.5%) were found. Conclusion. The rate of complication at donor site after latissimus dorsi flap operation is around 10%. To minimize the complication, avoiding axillary skin incision, minimal invasive harvesting by endoscopy, meticulous suturing of subcutaneous layer are needed.

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