Shoulder function after breast reconstruction with the latissimus dorsi flap: A prospective cohort study - Combining DASH score and objective evaluation
| Autor: | Andrea Manconi, Maria Claudia Simoncini, G. Lomeo, G. Lanni, Mario Rietjens, Pietro Loschi, Luigi Santoro, J.Y. Petit, Cristina Garusi |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Mammaplasty Breast Neoplasms 030230 surgery Surgical Flaps 03 medical and health sciences Disability Evaluation 0302 clinical medicine Postoperative Complications Shoulder function medicine Humans Prospective Studies Latissimus dorsi flap Range of Motion Articular Prospective cohort study Aged Retrospective Studies business.industry Shoulder Joint Retrospective cohort study General Medicine Middle Aged Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Superficial Back Muscles Shoulder joint Female Implant Joint Diseases Breast reconstruction business |
| Zdroj: | Breast (Edinburgh, Scotland). 27 |
| ISSN: | 1532-3080 |
| Popis: | Objectives The latissimus dorsi (LD) flap is well-known in breast reconstruction especially in previously-irradiated patients, in order to have a low capsular contraction rate whenever an implant is associated. The aim of this study is to closely evaluate the effect of LD flap harvesting on shoulder function as well as specific movements related to the LD, both objectively and subjectively. Materials and methods We retrospectively collected data on 86 patients who underwent pedicled LD muscle flap for breast reconstruction at the European Institute of Oncology between September 1995 until March 2011. Results The majority of patients showed a joint recovery superior to 80% in all joint movements examined. Disabilities of the Arm, Shoulder and Hand questionnaire revealed minimal disability similar to normal range and furthermore it appears to decrease in all sports and in particular in those who practice with LD involvement. Conclusion Focusing this data, a growing, “disability-free” percentage changes depending on whether or not the patients have practiced sport could be appreciate. |
| Databáze: | OpenAIRE |
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