Garusi C, Manconi A, Lanni G, Lomeo G, Loschi P, Simoncini M C, Santoro L, Rietjens M, Petit J Y
Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy.
Division of Physical Therapist, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy.
Breast. 2016 Jun;27:78-86. doi: 10.1016/j.breast.2016.02.017. Epub 2016 Apr 4.
The latissimus dorsi (LD) flap is well-known in breast reconstruction especially in previously-irradiated patients, in order to have a low capsular contraction rate whenever an implant is associated. The aim of this study is to closely evaluate the effect of LD flap harvesting on shoulder function as well as specific movements related to the LD, both objectively and subjectively.
We retrospectively collected data on 86 patients who underwent pedicled LD muscle flap for breast reconstruction at the European Institute of Oncology between September 1995 until March 2011.
The majority of patients showed a joint recovery superior to 80% in all joint movements examined. Disabilities of the Arm, Shoulder and Hand questionnaire revealed minimal disability similar to normal range and furthermore it appears to decrease in all sports and in particular in those who practice with LD involvement.
Focusing this data, a growing, "disability-free" percentage changes depending on whether or not the patients have practiced sport could be appreciate.
背阔肌（LD）皮瓣在乳房重建中广为人知，尤其是在既往接受过放疗的患者中，当联合植入物时，其包膜挛缩率较低。本研究的目的是从客观和主观两方面密切评估切取LD皮瓣对肩部功能以及与LD相关的特定运动的影响。
我们回顾性收集了1995年9月至2011年3月期间在欧洲肿瘤研究所接受带蒂LD肌皮瓣乳房重建的86例患者的数据。
大多数患者在所有检查的关节活动中关节恢复率均超过80%。上肢、肩部和手部功能障碍问卷显示残疾程度极小，与正常范围相似，而且在所有运动中，尤其是涉及LD运动的患者中，残疾程度似乎有所降低。
根据这些数据，可以看出，根据患者是否进行运动，“无残疾”百分比在不断变化。
