A Successful Reconstruction Using a Frozen Autograft and a Pedicled Latissimus Dorsi Flap after a S12345B Shoulder Girdle Resection in a Patient with Osteosarcoma

被引：4

作者：

Shimizu, Takamasa ^{[1
]}

Kido, Akira ^{[1
]}

Honoki, Kanya ^{[1
]}

Murata, Keiichi ^{[1
]}

Fujii, Hiromasa ^{[1
]}

Higuchi, Banryoku ^{[2
]}

Ishihara, Takashi ^{[2
]}

Takeshita, Yasufumi ^{[2
]}

Shima, Midori ^{[2
]}

Yajima, Hiroshi ^{[1
]}

Akahane, Manabu ^{[3
]}

Tanaka, Yasuhito ^{[1
]}

机构：

[1] Nara Med Univ, Dept Orthoped Surg, Sch Med, Kashihara, Nara 6348522, Japan

[2] Nara Med Univ, Dept Pediat, Sch Med, Kashihara, Nara 6348522, Japan

[3] Nara Med Univ, Dept Publ Hlth Hlth Management & Policy, Sch Med, Kashihara, Nara 6348522, Japan

来源：

JOURNAL OF RECONSTRUCTIVE MICROSURGERY | 2012年 / 28卷 / 03期

关键词：

frozen autograft; shoulder girdle resection; pedicled latissimus dorsi flap; LIMB SALVAGE; SARCOMA; HUMERUS; TUMOR;

D O I：

10.1055/s-0031-1296031

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We present a case of high-grade osteosarcoma in the proximal humerus in an 8-year-old boy. Massive tumor expansion required a S12345B shoulder girdle resection according to the system of the Musculoskeletal Tumor Society. After wide resection, only a small portion of the distal humerus and none of the rotator cuff muscles would be spared. Because the humeral portion would be too short to support the stem and the soft tissue would be insufficient to cover prosthetic components, we designed a composite reconstruction using a frozen autograft and a pedicled muscle flap. At 2 years postoperatively, our patient exhibited good adaptation and had acquired fine dexterity of the upper limb. To our knowledge, this is the first report regarding a successful composite reconstruction after a S12345B shoulder girdle resection.

引用

页码：155 / 159

页数：5

共 15 条

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[7] Complex abdominal wall defect reconstruction using a latissimus dorsi free flap with mesh after malignant tumor resection
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[8] Rare case of reconstruction of the anterior thigh compartment after resection of high-grade sarcoma by hybrid technique: Latissimus dorsi free flap associated with a medial gastrocnemius pedicled flap
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[9] Pediatric Arm Reconstruction after Shot-gun Injury Using Peroneal Free-flap and Pedicled Latissimus Dorsi Muscle Flap: Late Follow-up
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[10] Long-term patient-reported back and shoulder function after delayed breast reconstruction with a latissimus dorsi flap: case-control cohort study
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[J]. BRITISH JOURNAL OF SURGERY, 2024, 111 (01)

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