Reconstruction of transhumeral amputation stumps with ipsilateral pedicled latissimus dorsi myocutaneous flap in high voltage electrical burns


KESİKTAŞ E. , ESER C. , GENCEL E. , ASLANER E. E. , Yavuz M.

BURNS, cilt.41, ss.401-407, 2015 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 41 Konu: 2
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1016/j.burns.2014.07.011
  • Dergi Adı: BURNS
  • Sayfa Sayıları: ss.401-407

Özet

Injury due to high-voltage (>1000 V) electricity is one of the most challenging problems in emergency medicine and plastic surgery. Extremity amputation because of electrical injury yields a stump that leaves vital structures, such as bone, muscle, blood vessels, and nerves, exposed; these structures should be covered with appropriate tissue. We designed a retrospective study that included twelve patients with a high-voltage electrical injury followed by trans-humeral amputation who were evaluated between 2004 and 2013. The ages of the patients ranged between 8 and 35 years (mean, 16.9 years). Following amputation, the defects were covered with an ipsilateral pedicled latissimus dorsi (LD) myocutaneous flap for stump protection and functional transfer.