Latissimus Dorsi Transfer for Triceps Brachii Reconstruction in a Patient with Leiomyosarcoma of the Triceps Brachii: Technique and Case Report
DOI:
https://doi.org/10.21270/archi.v11i3.5814Keywords:
Leiomyosarcoma, Microsurgery, NeoplasmsAbstract
Reconstruction surgeries for malignant soft tissue tumors challenges many surgeons and orthopedic centers. Few cases of triceps brachii leiomyosarcoma reconstruction have been described. There are tunneling techniques already described by other authors. This study aims to report a case of oncological reconstruction of the triceps brachii using the large Latissimus Dorsi flap in a 60 years-old male patient with leiomyosarcoma in the triceps brachii. The patient achieved full recovery of triceps brachii function after eight weeks. The microsurgical options could be helpful in the management and reconstruction of the leiomyosarcomas in patients without limb amputation indication.
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References
Chang LD, Goldberg NH, Chang B, Spence R. Elbow defect coverage with a one-staged, tunneled latissimus dorsi transposition flap. Ann Plast Surg. 1994;32:496-502
Hovnanian AP. Latissimus dorsi transplantation for loss of flexion or extension ar the elbow. Ann Surg. 1956;143:493-99.
Landra AP. The latissimus dorsi musculocutaneous flap used to resurface a defect on the upper arm and restore extension of the elbow. Br J Plast Surg 1979;32:275-77.
Sood A, Therattil PJ, Russo G, Lee ES. Functional Latissimus Dorsi Transfer for Upper-Extremity Reconstruction: A Case Report and Review of the Literature. Eplasty. 2017;17:e5.
Schwab JH, Healey JH, Athanasian EA. Wide en bloc extra-articular excision of the elbow for sarcoma with complex reconstruction. J Bone Joint Surg Br. 2008;90(1):78-83.
Santana, TP, de-Serenza, FS, Andrade FR, Alves-Rezende LGR, Cagnolati AF, Irusta AEC, Mazzer N. Avaliação da morbidade da área doadora do retalho de Grande Dorsal. Arch Health Invest. 2020;9(2):185-89.
Martin S, McBride M, McGarry K, Eames M, Lewis H. A review of functional latissimus dorsi transfers for absent elbow flexion and supination. Shoulder Elbow. 2021;13(3):329-33.
