Evaluation of Shoulder Muscle Improvement in Patients Following Free Latissimus Dorsi Muscle Pedicle Flap Transfer
| العنوان: | Evaluation of Shoulder Muscle Improvement in Patients Following Free Latissimus Dorsi Muscle Pedicle Flap Transfer |
|---|---|
| المؤلفون: | Ufuk Emekli, Bora Edim Akalin, Ömer Berköz, Türker Şahinkaya, Erman Ak, Erol Kozanoğlu, Omer Ayik, Serkan Bayram |
| المصدر: | Plastic Surgery. :229255032110485 |
| بيانات النشر: | SAGE Publications, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | musculoskeletal diseases, Dorsum, Pedicle flap, business.industry, Latissimus dorsi muscle, Shoulder function, Medicine, Surgery, In patient, Shoulder muscle, Anatomy, Range of motion, business |
| الوصف: | Aim: This study aimed to evaluate the clinical outcomes, shoulder muscle strength, and donor site morbidity following the free latissimus dorsi (LD) muscle pedicle flap transfer. Materials: Patients with free LD muscle pedicle flap reconstructions and with asymptomatic shoulders (affected and contralateral side) were included. The follow-up duration was 12 months. The combined shoulder range of motion (ROM), Constant–Murley shoulder (CMS), and quick disabilities of the arm, shoulder, and hand (QuickDASH) scores were measured preoperatively and at 1 year postoperatively. The ratio of the isokinetic muscle strength and total work was measured with an isokinetic dynamometer (Cybex 350®) both preoperatively and at sixth month postoperatively. Results: Twenty patients with a mean age of 37.06 ± 9.74 years and a mean body mass index of 23.49 ± 8.6 kg/m2 were included. The difference in shoulder ROM and CMS and increase in QuickDASH were not significant at the first postoperative year. The peak torque and total work performed decreased by 13%–16% for the adductor and extensor functions at the six month postoperatively, and these differences were significant. Although the adductor peak torque was significantly lower in the postoperative test of the operated side, no significant difference was found between the operated and unaffected shoulder peak torque values. Moreover, no significant difference was noted between the operated and unaffected shoulders in all isokinetic tests pre- and postoperatively. Conclusion: The free LD muscle pedicle flap harvest did not decrease function and ROM at the first postoperative year. The muscle strength and total work of shoulders after the LD muscle transfer returned to the preoperative condition at the sixth month, except adductor and extensor muscle strengths. However, adductor and extensor muscle strengths of the operated shoulders were not significantly different postoperatively. Level of Evidence: Level IV, Diagnostic study |
| تدمد: | 2292-5511 2292-5503 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::dbad9d7a4badf81ea42920e936e640f0 https://doi.org/10.1177/22925503211048521 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........dbad9d7a4badf81ea42920e936e640f0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22925511 22925503 |
|---|