フクナガ　ユタカ   Yutaka Fukunaga   福永　豊    所属   川崎医科大学  医学部 臨床医学　形成外科学    職種   講師
論文種別	原著
言語種別	日本語
査読の有無	査読あり
表題	Flow-through divided latissimus dorsi musculocutaneous flap for large extremity defects.
掲載誌名	正式名：Annals of plastic surgery 略　 称：Ann Plast Surg ISSNコード：15363708/01487043
掲載区分	国外
巻・号・頁	74(2),199-203頁
著者・共著者	Shimpei Miyamoto, Shuji Kayano, Masahide Fujiki, Kenichi Kamizono, Yutaka Fukunaga, Minoru Sakuraba
発行年月	2015/02
概要	Reconstructing large defects of the extremities is a challenging problem for reconstructive microsurgeons. The latissimus dorsi musculocutaneous flap (LDMCF) is widely used for this purpose, but a skin graft is needed when the defect is wider than available flaps. We used flow-through divided LDMCFs to reconstruct large defects of the extremities in 5 consecutive patients from 2010 through 2012. The semicircular skin island was split longitudinally, and 1 skin island was advanced over the other to close a round or oval defect without a skin graft. Postoperatively, all flaps survived completely, and the mean Enneking score was 90.0%. The flow-through divided LDMCF is a reliable and versatile option for reconstructing large defects of the extremities.
DOI	10.1097/SAP.0b013e3182996eaa
PMID	23917544