Summary
In paraplegic patients dependent on their upper body for mobility, the latissimus
dorsi muscle is generally unacceptable for microsurgical reconstruction of complex
ischial defect. To avoid total muscle function loss, a portion of the lateral latissimus
dorsi musculocutaneous flap can instead be harvested. From February 1999 to March
2009, 11 paraplegic patients with complex ischial pressure sores were prospectively
recruited. The reconstruction was performed using a free partial lateral latissimus
dorsi musculocutaneous flap. The follow-up period ranged from 18 to 114 months (mean,
60 months). All flaps survived postoperatively. No recurrence occurred in our series.
All patients experienced various degrees of back tightness, shoulder weakness and
limited shoulder motion since surgery, which were relieved within 9 months. The free
partial lateral latissimus dorsi musculocutaneous flap can be a good alternative for
covering severe infected ischial defect. Shoulder functional deficits will lessen
over time and normal function will be regained gradually.
Keywords
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Article info
Publication history
Published online: November 03, 2011
Accepted:
October 3,
2011
Received:
August 14,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
