Evaluation of Shoulder Mobility After Breast Reconstruction With a Lipofilled Latissimus Dorsi Mini-Flap: A Prospective Cohort Study.

IF 2 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Breast Journal Pub Date : 2026-01-01 DOI:10.1155/tbj/5107548

Bruno Carvalho Carelli, Fabio Bagnoli, Eduardo de Melo Carvalho Rocha, José Francisco Rinaldi, Vilmar Marques de Oliveira

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引用次数: 0

Abstract

Background: The lipofilled latissimus dorsi mini-flap (LDMF-L) broadens autologous breast-reconstruction options, yet its functional impact on the shoulder remains uncertain.

Objective: To evaluate shoulder strength, range of motion (ROM) and patient-reported upper-limb function QuickDash 90 days after breast reconstruction with the LDMF-L.

Methods: Prospective cohort of 20 patients operated on between November 2022 and November 2024.

Inclusion: Breast cancer requiring immediate or delayed reconstruction with LDMF-L; exclusion: Implant use or major pre-existing limitation. Strength (Oxford scale), ROM (goniometry) and QuickDASH score were assessed preoperatively and at 90 days. Wilcoxon, Student's t-test, Mann-Whitney and McNemar tests were used appropriately (α = 0.05).

Results: Mean age 54 ± 11.8 years; immediate/delayed reconstruction = 50/50%. Strength remained unchanged in 85% (p = 1.000). Active flexion and abduction showed significant reductions (p = 0.016 and 0.045), with no difference in rotations. QuickDASH increased from 8 ± 16 to 19 ± 24 (p = 0.008); nevertheless, 80% stayed within minimal/mild disability.

Conclusions: The LDMF-L preserves strength and produces only mild early ROM decreases with limited functional impact, supporting its functional safety as an implant-free autologous option.

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用脂质填充背阔肌微型皮瓣重建乳房后肩部活动度的评价：一项前瞻性队列研究。

背景：脂质填充背阔肌微型皮瓣（LDMF-L）拓宽了自体乳房重建的选择，但其对肩部的功能影响仍不确定。目的：评估LDMF-L乳房重建后90天肩关节力量、活动度（ROM）和患者报告的上肢功能。方法：对2022年11月至2024年11月手术的20例患者进行前瞻性队列研究。纳入：需要立即或延迟LDMF-L重建的乳腺癌；排除：植入物使用或主要预先存在的限制。术前和术后90天分别评估肌力（牛津量表）、ROM（角度测量）和QuickDASH评分。适当采用Wilcoxon、Student’st检验、Mann-Whitney和McNemar检验（α = 0.05）。结果：平均年龄54±11.8岁；立即/延迟重建= 50/50%。85%的强度保持不变（p = 1.000）。主动屈曲和外展明显减少（p = 0.016和0.045），旋转无差异。QuickDASH由8±16增加到19±24 (p = 0.008)；尽管如此，80%的患者仍处于轻度或轻度残疾。结论：LDMF-L保留了强度，仅产生轻微的早期ROM减少，功能影响有限，支持其作为无植入物自体选择的功能安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breast Journal 医学-妇产科学

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Breast Journal is the first comprehensive, multidisciplinary source devoted exclusively to all facets of research, diagnosis, and treatment of breast disease. The Breast Journal encompasses the latest news and technologies from the many medical specialties concerned with breast disease care in order to address the disease within the context of an integrated breast health care. This editorial philosophy recognizes the special social, sexual, and psychological considerations that distinguish cancer, and breast cancer in particular, from other serious diseases. Topics specifically within the scope of The Breast Journal include: Risk Factors Prevention Early Detection Diagnosis and Therapy Psychological Issues Quality of Life Biology of Breast Cancer.