C Garusi1, A Manconi2, G Lanni3, G Lomeo4, P Loschi5, M C Simoncini6, L Santoro7, M Rietjens8, J Y Petit9. 1. Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: cristina.garusi@ieo.it. 2. Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: andrea.manconi@ieo.it. 3. Division of Physical Therapist, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: gabriella.lanni@ieo.it. 4. Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: giuseppe.lomeo@gmail.com. 5. Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: pietro.loschi@ieo.it. 6. Division of Physical Therapist, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: maria.simoncini@ieo.it. 7. Division of Epidemiology and Biostatistics, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: luigi.santoro@ieo.it. 8. Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: mario.rietjens@ieo.it. 9. Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. Electronic address: jean.petit@ieo.it.
Abstract
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.
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.
Authors: Francesca De Lorenzi; Francesco Borelli; Pietro Sala; Pietro Loschi; Paola Naninato; Anna Rita Vento; Elisabetta Maria Cristina Rossi; Paolo Veronesi Journal: Breast Care (Basel) Date: 2020-11-04 Impact factor: 2.268
Authors: Rita Hansdorfer-Korzon; Damian Wnuk; Jakub Ławnicki; Maciej Śliwiński; Agnieszka Gruszecka Journal: Int J Environ Res Public Health Date: 2020-04-21 Impact factor: 3.390
Authors: Emad M Abdelrahman; Ahmed M Nawar; M Ashraf Balbaa; Ahmed A Shoulah; Ahmed A Shora; Mohamed S Kharoub Journal: Plast Reconstr Surg Glob Open Date: 2019-10-30