Use of Latissimus Dorsi Myocutaneous Flap in Reconstruction of Extensive Soft Tissue Defects of Upper Limb

Abstract

Objective: To evaluate the role of latissimus dorsi myocutaneous flap in providing soft tissue
cover for extensive defects of upper limb at shoulder, mid arm amputation stump, arm, elbow joint,
forearm and wrist level.
Patients and Methods:An observational study carried out at the Department of Plastic Surgery,
Services Hospital, Lahore from January 2004 to June 2007. Patients presenting with extensive
soft tissue defects of various areas of upper limb managed with latissimus dorsi myocutaneous
flap were included in this study. In all the cases classical pedicled myocutaneous latissimus dorsi
flap was used.
Results: Study was carried out on twelve cases. It included nine males and three females. Flap
provided soft tissue cover to defects at arm and elbow in three cases. Two cases needed soft
tissue cover at arm, forearm region, elbow joint area and shoulder. In one case it covered the mid
arm amputation stump. All flaps survived.
Conclusion: Latissimus dorsi myocutaneous flap may be considered as a workable option in
extensive soft tissue defects of various areas of upper limb.