整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
広背筋皮弁による上肢再建
中島 英親古川 元祥浦田 節雄川村 富也米満 弘之
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1991 年 40 巻 2 号 p. 666-669

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We experienced treating 7 cases with the latissimus dorsi flap to restore the upper limb. The operation was performed in 4 cases to restore elbowflexion, 1 case to restore elbow extension, and 1 case to restore finger extension.
The 7 cases were used as the musculcocutaneous flap. All of these cases survived completely. After the operation active flexion of the elbow in 4 cases with elbow flexion reconstruction was measured between 100° and 130°, and active extension between -10 and -35°. In the case with restoration of elbow extension, the range of motion after the operation was between -5° of extension and 125° of flexion.
In the case with restoration of the finger extension, the pinch power after operation was stronger then it was before operation.
I think that latissimus dorsi flap is the best musculocutaneous flap for the reconstruction of the elbow and the finger.

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