Durable stump reconstruction using a free latissimus dorsi myocutaneous flap with shoelace technique in bone-protruding forearm amputation: A case report

JOS Case Reports Pub Date : 2023-09-01 DOI:10.1016/j.joscr.2023.04.002

Kohei Shimoda , Makoto Motomiya , Mitsutoshi Ota , Norimasa Iwasaki

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Abstract

Background

In patients with a nonreplantable forearm amputation, it is necessary to reconstruct a suitable stump that is long, well vascularized, and durable enough to support a functional prosthesis. However, methods for optimal stump reconstruction have not been defined.

Case presentation

We report a 48-year-old patient with a bone-protruding forearm amputation who underwent a free latissimus dorsi myocutaneous flap for covering the stump without bone shortening. By gradually tightening the skin defect using the shoelace technique, it was possible to reduce the size of the skin graft, making the stump durable, and thereby obtaining a stump suitable for a prosthesis without additional skin plasty.

Conclusions

Although there have been no reports to date using the shoelace technique on a free flap, it could be safely applied to a skin defect after free myocutaneous flap coverage of the stump. This technique may be a useful option in limb reconstruction following amputation.

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带鞋带技术的背阔肌游离皮瓣在前臂骨突截肢术中的耐用残端重建：一例报告

背景对于不可移植的前臂截肢患者，有必要重建一个合适的残端，该残端长、血管良好、耐用，足以支撑功能性假体。然而，最佳残端重建的方法尚未确定。病例介绍：我们报告了一名48岁的前臂骨突出截肢患者，该患者接受了游离背阔肌肌皮瓣覆盖残端而不缩短骨。通过使用鞋带技术逐渐收紧皮肤缺损，可以减小皮肤移植物的尺寸，使残端耐用，从而在不进行额外皮肤整形的情况下获得适合假体的残端。结论尽管迄今为止还没有在游离皮瓣上使用鞋带技术的报道，但它可以安全地应用于游离肌皮瓣覆盖残端后的皮肤缺损。这种技术在截肢后的肢体重建中可能是一种有用的选择。

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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JOS Case Reports

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