Free Neurovascular Latissimus Dorsi Muscle Transplantation for Reconstruction of Hip Abductors

Sergi Barrera-Ochoa, Jose Manuel Collado-Delfa, Andrea Sallent, Alejandro Lluch, Roberto Velez

    Research output: Contribution to journalArticleResearchpeer-review

    4 Citations (Scopus)

    Abstract

    Summary: Resection of tumors affecting the hip abductors can cause significant decrease in muscle strength and may lead to abnormal gait and poor function. We present a case report showing full functional recovery after resection of a synovial sarcoma affecting the right gluteus medius and minimus muscles with reconstruction free neurovascular latissimus dorsi muscle transplantation. The latissimus dorsi muscle was harvested following standard technique and fixed to the ilium and the greater trochanter. Receptor vessels were end-To-end anastomosed to the subscapular vessels followed by an end-To-end epineural suture between the superior gluteal nerve and the thoracodorsal nerve. A year after surgery, there is no evidence of recurrent disease; electromyographic analysis shows complete reinnervation of the latissimus dorsi muscle flap, and the patient has achieved full functional recovery. Free functional latisimus dorsi transfer could be considered as a viable reconstruction technique after hip abductors resection in tumor surgery.
    Original languageEnglish
    Article numbere1498
    JournalPlastic and Reconstructive Surgery - Global Open
    Volume5
    Issue number9
    DOIs
    Publication statusPublished - 1 Sep 2017

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