The innervated rectus abdominis flap for quadriceps reconstruction

The vertical rectus abdominis myocutaneous (VRAM) and transverse rectus abdominis myocutaneous (TRAM) flaps have traditionally been excluded from consideration of reconstructions with functional potential, because of their segmental innervation. We present a case series that aimed to demonstrate tha...

Full description

Saved in:
Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2019-06, Vol.72 (6), p.941-945
Main Authors: Grinsell, Damien, Lonie, Sarah, Wilson, K. Clare, Choong, Peter F.M.
Format: Article
Language:English
Subjects:
Aged
Female
Free tissue flaps
Humans
Limb Salvage - methods
Male
Middle Aged
Muscle Denervation - methods
Muscle Neoplasms - pathology
Muscle Neoplasms - surgery
Myocutaneous Flap - blood supply
Myocutaneous Flap - innervation
Outcome Assessment, Health Care
Plastic surgery
Quadriceps Muscle - surgery
Reconstruction
Reconstructive Surgical Procedures - adverse effects
Reconstructive Surgical Procedures - methods
Recovery of Function
Rectus Abdominis - innervation
Rectus Abdominis - transplantation
Sarcoma
Sarcoma - pathology
Sarcoma - surgery
Thigh - pathology
Thigh - surgery
Wound Closure Techniques
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The vertical rectus abdominis myocutaneous (VRAM) and transverse rectus abdominis myocutaneous (TRAM) flaps have traditionally been excluded from consideration of reconstructions with functional potential, because of their segmental innervation. We present a case series that aimed to demonstrate that segmental innervation does not preclude successful neural anastomoses and can deliver a functional reconstruction of a total compartment in the anterior thigh. This review included all patients who required total anterior thigh compartmentectomy and reconstruction between December 2009 and February 2016 were included from the first author's prospective database. Eleven cases were identified, with innervated rectus abdominis flaps used for anterior thigh reconstruction. During the median follow up period of 12 months, all patients had reinnervation of the rectus with six reaching M5, one M4+, one M4, two M3 and one M2, according to Medical Research Council power grades. All patients had successful functional reconstruction in the thigh using the rectus abdominis myocutaneous flap.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2019.03.002