Detaillierte Beitrags-Information
| Beitragstitel | The use of a partially resorbable mesh to augment the insertion site of a functional muscle flap in reconstruction of active elbow flexion |
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| Beitragscode | P004 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
Introduction Extensive soft tissue trauma often requires reconstruction with a muscle flap. When active elbow flexion is lost due to traumatic destruction of elbow flexors, a functional latissimus dorsi flap is an established method to restore elbow function. However, when attaching the distal end of the muscle flap there is a risk of insufficient fixation at the insertion site due to the weak properties of the muscle tissue. We present a method to strengthen the insertion site of the flap by using a partially resorbable mesh (Vypro®). Material and methods We report on a patient who sustained an open subluxation of the elbow joint with a large soft tissue defect Gustilo-Anderson grade IIIa with complete loss of active elbow flexion. To restore active range of motion we performed a functional latissimus dorsi transfer. The distal end of the flap was attached to the radial tuberosity with bone anchors. To augment the insertion site and increase the pull-out strength of the sutures on the distal end of the flap we attached a circumferential Vypro® mesh. Results The patient achieved excellent results for strength of elbow flexion and range of motion with mesh stabilization of the distal insertion. No adverse effects of the mesh occurred. Conclusion When a strong attachment of a muscle flap to tendon or bone is needed in functional restoration, mesh augmentation might be a viable option. |