Static and Dynamic Stabilization of the Shoulder After Total Scapulectomy in an Electric Burn Patient.
| Autor: | May JM; From the Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX., Pathak A; KH Plastic Surgery, New York, NY., Pientka WF; Ben Hogan Bone and Joint Institute, Fort Worth, TX., Meade AE; From the Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX., Duque S; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA., Farewell JT; From the Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX., Zhang AY; From the Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. |
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| Jazyk: | angličtina |
| Zdroj: | Annals of plastic surgery [Ann Plast Surg] 2023 May 01; Vol. 90 (5S Suppl 2), pp. S216-S220. Date of Electronic Publication: 2023 Jan 18. |
| DOI: | 10.1097/SAP.0000000000003392 |
| Abstrakt: | Abstract: An otherwise healthy 49-year-old man experienced a high-voltage electrical injury to the left shoulder resulting in total scapulectomy, partial calviculectomy, and a substantial soft tissue defect. The majority of the muscles around his shoulder were debrided because of necrosis, with only the pectoralis and latissimus dorsi muscles remaining attached to the humerus. Surprisingly, the patient's brachial plexus remained intact, and his left elbow, wrist, and hand function were preserved. A novel combination of 3 static and dynamic suspension techniques were used to stabilize his shoulder and prevent traction injury to the brachial plexus. Postoperative follow-up at 1 year demonstrated excellent stability of his reconstructed shoulder, which allowed him to ambulate independently and return to employment. Competing Interests: Conflicts of interest and sources of funding: none declared. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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