The innervated rectus abdominis flap for quadriceps reconstruction.
Aged
Female
Humans
Limb Salvage
/ methods
Male
Middle Aged
Muscle Denervation
/ methods
Muscle Neoplasms
/ pathology
Myocutaneous Flap
/ blood supply
Outcome Assessment, Health Care
Quadriceps Muscle
/ surgery
Plastic Surgery Procedures
/ adverse effects
Recovery of Function
Rectus Abdominis
/ innervation
Sarcoma
/ pathology
Thigh
/ pathology
Wound Closure Techniques
Free tissue flaps
Plastic surgery
Reconstruction
Sarcoma
Journal
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
ISSN: 1878-0539
Titre abrégé: J Plast Reconstr Aesthet Surg
Pays: Netherlands
ID NLM: 101264239
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
09
02
2017
revised:
20
02
2019
accepted:
10
03
2019
pubmed:
31
3
2019
medline:
25
12
2019
entrez:
31
3
2019
Statut:
ppublish
Résumé
The vertical rectus abdominis myocutaneous (VRAM) and transverse rectus abdominis myocutaneous (TRAM) flaps have traditionally been excluded from consideration of reconstructions with functional potential, because of their segmental innervation. We present a case series that aimed to demonstrate that segmental innervation does not preclude successful neural anastomoses and can deliver a functional reconstruction of a total compartment in the anterior thigh. This review included all patients who required total anterior thigh compartmentectomy and reconstruction between December 2009 and February 2016 were included from the first author's prospective database. Eleven cases were identified, with innervated rectus abdominis flaps used for anterior thigh reconstruction. During the median follow up period of 12 months, all patients had reinnervation of the rectus with six reaching M5, one M4+, one M4, two M3 and one M2, according to Medical Research Council power grades. All patients had successful functional reconstruction in the thigh using the rectus abdominis myocutaneous flap.
Sections du résumé
BACKGROUND
BACKGROUND
The vertical rectus abdominis myocutaneous (VRAM) and transverse rectus abdominis myocutaneous (TRAM) flaps have traditionally been excluded from consideration of reconstructions with functional potential, because of their segmental innervation. We present a case series that aimed to demonstrate that segmental innervation does not preclude successful neural anastomoses and can deliver a functional reconstruction of a total compartment in the anterior thigh.
METHODS
METHODS
This review included all patients who required total anterior thigh compartmentectomy and reconstruction between December 2009 and February 2016 were included from the first author's prospective database.
RESULTS
RESULTS
Eleven cases were identified, with innervated rectus abdominis flaps used for anterior thigh reconstruction. During the median follow up period of 12 months, all patients had reinnervation of the rectus with six reaching M5, one M4+, one M4, two M3 and one M2, according to Medical Research Council power grades.
CONCLUSION
CONCLUSIONS
All patients had successful functional reconstruction in the thigh using the rectus abdominis myocutaneous flap.
Identifiants
pubmed: 30926411
pii: S1748-6815(19)30111-1
doi: 10.1016/j.bjps.2019.03.002
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
941-945Informations de copyright
Copyright © 2019 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.