Biomaterial Database

Restoration of elbow flexion by latissimus dorsi myocutaneous or muscle flap. 1990

W S Chen

Department of Orthopedic Surgery, Chang-Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China.

Six patients with flail elbow as a consequence of brachial plexus injury or traumatic loss of arm muscles underwent bipolar transposition of latissimus dorsi myocutaneous or muscle flaps to the biceps brachii to restore elbow flexion. The muscle strength achieved was 1.5-2.5 kg and the total range of active excursion is about 95 degrees. The muscle strength is sufficient to carry out most of the activities of daily life but insufficient to achieve active supination or to perform heavy manual work. Elbow flexion of more than 120 degrees is necessary for the affected hand to reach the mouth and should be one of the goals of the operation. Versatile use of the myocutaneous flap facilitates skin closure and improves the contour of the arm.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D009068	Movement	The act, process, or result of passing from one place or position to another. It differs from LOCOMOTION in that locomotion is restricted to the passing of the whole body from one place to another, while movement encompasses both locomotion but also a change of the position of the whole body or any of its parts. Movement may be used with reference to humans, vertebrate and invertebrate animals, and microorganisms. Differentiate also from MOTOR ACTIVITY, movement associated with behavior.	Movements
D009132	Muscles	Contractile tissue that produces movement in animals.	Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D004551	Elbow Joint	A hinge joint connecting the FOREARM to the ARM.	Elbow Joints,Joint, Elbow,Joints, Elbow
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000092464	Elbow Injuries	Injuries involving the ELBOW and ELBOW JOINT.	Elbow Joint Injuries,Elbow Injury,Elbow Joint Injury,Injury, Elbow,Injury, Elbow Joint,Joint Injury, Elbow
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D001415	Back	The rear surface of an upright primate from the shoulders to the hip, or the dorsal surface of tetrapods.
D013524	Surgical Flaps	Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.	Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps