Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2026
Functional donor-site morbidity after free latissimus dorsi muscle transfer in children.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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De Pawlikowski Wieslawa, Bustamante Atenas, Gillipelli Srinithya R, Celie Karel-Bart, Ediger Emily, Diaz Jonathan, Zavala Abraham
Аннотация
BACKGROUND: The latissimus dorsi muscle (LDM) is frequently used in reconstructive surgery owing to its size, reliable vascularity, and versatility. It plays a key role in shoulder stability, adduction, and internal rotation. Although donor-site morbidity has been well studied in adults, little is known about long-term functional outcomes in pediatric patients. Given the ongoing musculoskeletal development in children, concerns exist regarding functional recovery, compensatory adaptations, and postural changes. We evaluated long-term donor-site morbidity, shoulder function, and musculoskeletal adaptation in pediatric patients following free LDM transfer.
METHODS: A cross-sectional study was conducted on pediatric patients who underwent free LDM transfer for soft tissue reconstruction between 2018 and 2021 at a tertiary care center. All procedures were performed by a single surgeon. Patients aged ≤17 years (males) or ≤15 years (females) were included. Donor-site morbidity was assessed once post-operatively using the DASH, SPADI, and Pedia-ASES scores. Functional outcomes included range of motion, shoulder stability, daily activities, and spinal asymmetry.
RESULTS: Twenty-one patients (mean age: 7.0±4.0 years) were included. Trauma was the primary indication (n=19). Flaps were muscle-only (n=9), myocutaneous (n=11), or myofascial (n=1). Functional assessments showed minimal donor-site morbidity and acceptable postoperative outcomes. The mean DASH score was 11.4±12.4, indicating low disability. SPADI pain and disability scores were 10.6±14.5 and 7.6±10.9, respectively. Pedia-ASES scores showed largely preserved function.
CONCLUSIONS: Free LDM transfer in pediatric patients results in minimal morbidity and acceptable postoperative functional status, likely owing to adaptive muscle compensation. Further studies should explore long-term biomechanical adaptations and function-sparing techniques.
METHODS: A cross-sectional study was conducted on pediatric patients who underwent free LDM transfer for soft tissue reconstruction between 2018 and 2021 at a tertiary care center. All procedures were performed by a single surgeon. Patients aged ≤17 years (males) or ≤15 years (females) were included. Donor-site morbidity was assessed once post-operatively using the DASH, SPADI, and Pedia-ASES scores. Functional outcomes included range of motion, shoulder stability, daily activities, and spinal asymmetry.
RESULTS: Twenty-one patients (mean age: 7.0±4.0 years) were included. Trauma was the primary indication (n=19). Flaps were muscle-only (n=9), myocutaneous (n=11), or myofascial (n=1). Functional assessments showed minimal donor-site morbidity and acceptable postoperative outcomes. The mean DASH score was 11.4±12.4, indicating low disability. SPADI pain and disability scores were 10.6±14.5 and 7.6±10.9, respectively. Pedia-ASES scores showed largely preserved function.
CONCLUSIONS: Free LDM transfer in pediatric patients results in minimal morbidity and acceptable postoperative functional status, likely owing to adaptive muscle compensation. Further studies should explore long-term biomechanical adaptations and function-sparing techniques.