Complex Functional Posttraumatic Shoulder Reconstruction Using Shoulder Arthroplasty and a Pedicled Innervated Latissimus Dorsi Flap—A Case Report and Literature Review
Background The shoulder joint is one of the most freely movable joints in the human body and has therefore high importance for upper limb functionality. Several techniques have been developed to replace the glenohumeral joint including humeral hemiarthroplasty, anatomical total shoulder arthroplasty...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-08-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13575 |
| _version_ | 1797742189330038784 |
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| author | Olimpiu Bota Adrian Dragu Florian Bönke Eric Tille Feras Taqatqeh Jörg Nowotny |
| author_facet | Olimpiu Bota Adrian Dragu Florian Bönke Eric Tille Feras Taqatqeh Jörg Nowotny |
| author_sort | Olimpiu Bota |
| collection | DOAJ |
| description | Background The shoulder joint is one of the most freely movable joints in the human body and has therefore high importance for upper limb functionality. Several techniques have been developed to replace the glenohumeral joint including humeral hemiarthroplasty, anatomical total shoulder arthroplasty, and reverse total shoulder arthroplasty, depending on the underlying pathology. For the soft tissue reconstruction, the innervated latissimus dorsi musculocutaneous flap is a reliable solution flap in shoulder and arm reconstruction. Case presentation We present the case of a 16‐year‐old male patient with a complete destruction of the shoulder joint and soft tissues after ballistic trauma. We performed the reconstruction of the shoulder joint using a humeral hemiarthroplasty with a mesh fixation to the remaining glenoid. The soft tissue coverage and the restoration of the deltoid muscle function were insured with a pedicled innervated latissimus dorsi musculocutaneous flap. One year postoperatively, the patient showed a good function of the shoulder joint with an excellent aesthetical result and no pain. Conclusion The pedicled latissimus dorsi musculocutaneous flap can safely restore the shoulder function, while the humeral hemiarthroplasty with mesh fixation can be a reliable solution for the reconstruction of a completely destructed shoulder joint. |
| first_indexed | 2024-03-12T14:37:25Z |
| format | Article |
| id | doaj.art-ae6922e2f2b94dadb6b609fc2124655b |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-03-12T14:37:25Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-ae6922e2f2b94dadb6b609fc2124655b2023-08-17T03:22:41ZengWileyOrthopaedic Surgery1757-78531757-78612023-08-011582181218610.1111/os.13575Complex Functional Posttraumatic Shoulder Reconstruction Using Shoulder Arthroplasty and a Pedicled Innervated Latissimus Dorsi Flap—A Case Report and Literature ReviewOlimpiu Bota0Adrian Dragu1Florian Bönke2Eric Tille3Feras Taqatqeh4Jörg Nowotny5University Center for Orthopedics, Trauma and Plastic Surgery, Faculty of Medicine Carl Gustav Carus TU Dresden Dresden GermanyUniversity Center for Orthopedics, Trauma and Plastic Surgery, Faculty of Medicine Carl Gustav Carus TU Dresden Dresden GermanyUniversity Center for Orthopedics, Trauma and Plastic Surgery, Faculty of Medicine Carl Gustav Carus TU Dresden Dresden GermanyUniversity Center for Orthopedics, Trauma and Plastic Surgery, Faculty of Medicine Carl Gustav Carus TU Dresden Dresden GermanyUniversity Center for Orthopedics, Trauma and Plastic Surgery, Faculty of Medicine Carl Gustav Carus TU Dresden Dresden GermanyUniversity Center for Orthopedics, Trauma and Plastic Surgery, Faculty of Medicine Carl Gustav Carus TU Dresden Dresden GermanyBackground The shoulder joint is one of the most freely movable joints in the human body and has therefore high importance for upper limb functionality. Several techniques have been developed to replace the glenohumeral joint including humeral hemiarthroplasty, anatomical total shoulder arthroplasty, and reverse total shoulder arthroplasty, depending on the underlying pathology. For the soft tissue reconstruction, the innervated latissimus dorsi musculocutaneous flap is a reliable solution flap in shoulder and arm reconstruction. Case presentation We present the case of a 16‐year‐old male patient with a complete destruction of the shoulder joint and soft tissues after ballistic trauma. We performed the reconstruction of the shoulder joint using a humeral hemiarthroplasty with a mesh fixation to the remaining glenoid. The soft tissue coverage and the restoration of the deltoid muscle function were insured with a pedicled innervated latissimus dorsi musculocutaneous flap. One year postoperatively, the patient showed a good function of the shoulder joint with an excellent aesthetical result and no pain. Conclusion The pedicled latissimus dorsi musculocutaneous flap can safely restore the shoulder function, while the humeral hemiarthroplasty with mesh fixation can be a reliable solution for the reconstruction of a completely destructed shoulder joint.https://doi.org/10.1111/os.13575Case reportHumeral hemiarthroplastyInnervated latissimus dorsi flapShoulder reconstructionSoft tissue coverage |
| spellingShingle | Olimpiu Bota Adrian Dragu Florian Bönke Eric Tille Feras Taqatqeh Jörg Nowotny Complex Functional Posttraumatic Shoulder Reconstruction Using Shoulder Arthroplasty and a Pedicled Innervated Latissimus Dorsi Flap—A Case Report and Literature Review Orthopaedic Surgery Case report Humeral hemiarthroplasty Innervated latissimus dorsi flap Shoulder reconstruction Soft tissue coverage |
| title | Complex Functional Posttraumatic Shoulder Reconstruction Using Shoulder Arthroplasty and a Pedicled Innervated Latissimus Dorsi Flap—A Case Report and Literature Review |
| title_full | Complex Functional Posttraumatic Shoulder Reconstruction Using Shoulder Arthroplasty and a Pedicled Innervated Latissimus Dorsi Flap—A Case Report and Literature Review |
| title_fullStr | Complex Functional Posttraumatic Shoulder Reconstruction Using Shoulder Arthroplasty and a Pedicled Innervated Latissimus Dorsi Flap—A Case Report and Literature Review |
| title_full_unstemmed | Complex Functional Posttraumatic Shoulder Reconstruction Using Shoulder Arthroplasty and a Pedicled Innervated Latissimus Dorsi Flap—A Case Report and Literature Review |
| title_short | Complex Functional Posttraumatic Shoulder Reconstruction Using Shoulder Arthroplasty and a Pedicled Innervated Latissimus Dorsi Flap—A Case Report and Literature Review |
| title_sort | complex functional posttraumatic shoulder reconstruction using shoulder arthroplasty and a pedicled innervated latissimus dorsi flap a case report and literature review |
| topic | Case report Humeral hemiarthroplasty Innervated latissimus dorsi flap Shoulder reconstruction Soft tissue coverage |
| url | https://doi.org/10.1111/os.13575 |
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