Rivet D, Boileau R, Saiveau M, Baudet J
Service de Chirurgie Plastique, Reconstructrice, Hôpital du Tondu, Bordeaux.
Ann Chir Main. 1989;8(2):110-23. doi: 10.1016/s0753-9053(89)80003-1.
The latissimus dorsi myo-cutaneous flap has been used for restoration of elbow flexion in 8 cases. The indication for this transposition were brachial plexus injuries, significant trauma to the upper limb and restoration of arm contour. The surgical technique involved unipolar muscular transposition (4 cases) with tendon plication (one case) and bipolar transposition (three cases). The evaluation of results is based on the force and degree of elbow flexion, active pronation and supination, as cortical integration. We consider that we have obtained good results in 5 cases and moderate results in three. We think that the latissimus dorsi pedicle transfer for restoring elbow flexion, is an excellent procedure which can give a good functional result with minimal donor site sequelae.
背阔肌肌皮瓣已用于8例肘关节屈曲功能的重建。该转位术的适应证为臂丛神经损伤、上肢严重创伤以及恢复上臂外形。手术技术包括单极肌肉转位（4例）、肌腱折叠术（1例）和双极转位（3例）。结果评估基于肘关节屈曲的力量和程度、主动旋前和旋后，以及皮质整合情况。我们认为5例效果良好，3例效果中等。我们认为，采用带蒂背阔肌转移术恢复肘关节屈曲功能是一种极佳的术式，能在供区后遗症最小的情况下取得良好的功能效果。
