Delay E, Foyatier J L, el Kollali R, Comparin J P, Weil E, Latarjet J
Plastic Surgery Unit, Léon Bérard Centre, Lyon, France.
Burns. 1995 Sep;21(6):449-52. doi: 10.1016/0305-4179(95)00013-2.
Very deep burns of the arm and elbow lead to soft tissue necrosis and infection with exposure of important structures. Aggressive debridement should be performed as early as possible to cut the vicious circle, and the defect, which may be extensive, should be covered by well-vascularized tissues. The reliability and versatility of the pedicled latissimus dorsi muscle or musculocutaneous flap make it our first choice in the management of this problem. A retrospective study of three patients for whom salvage of the upper limb has been achieved by the use of a pedicled latissimus dorsi flap is presented, illustrating the advantages of this technique.
手臂和肘部的深度烧伤会导致软组织坏死和感染，重要结构外露。应尽早积极清创以切断恶性循环，对于可能广泛的缺损，应用血运丰富的组织覆盖。带蒂背阔肌肌瓣或肌皮瓣的可靠性和多功能性使其成为我们处理此问题的首选。本文对3例应用带蒂背阔肌皮瓣成功挽救上肢的患者进行回顾性研究，阐述该技术的优势。
