Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors
Barrera-Ochoa, Sergi (Hospital Universitari Vall d'Hebron)
Collado-Delfa, Jose Manuel (Hospital Universitari Vall d'Hebron)
Sallent, Andrea (Hospital Universitari Vall d'Hebron)
Lluch, Alejandro (Hospital Universitari Vall d'Hebron)
Velez, Roberto (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Data:	2017
Resum:	Supplemental Digital Content is available in the text. 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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	Plastic and Reconstructive Surgery Global Open, Vol. 5 (september 2017) , ISSN 2169-7574

DOI: 10.1097/GOX.0000000000001498
PMID: 29062663

4 p, 479.1 KB

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