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Microsurgery. 2011 Mar;31(3):218-22. doi: 10.1002/micr.20857. Epub 2011 Feb 23.

Long-term results after muscle-rib flap transfer for reconstruction of composite limb defects.

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University of Medicine Iuliu Hatieganu, Clinical Recovery Hospital, Clinic of Plastic Surgery and Reconstructive Microsurgery, Cluj-Napoca, Romania.


The authors present the long-term results in a series of 44 cases with post-traumatic bone defects solved with muscle-rib flaps, between March 1997 and December 2007. In these cases, we performed 21 serratus anterior-rib flaps (SA-R), 10 latissimus dorsi-rib flaps (LD-R), and 13 LD-SA-R. The flaps were used in upper limb in 18 cases and in lower limb in 26 cases. With an overall immediate success rate of 95.4% (42 of 44 cases) and a primary bone union rate of 97.7% (43 of 44 cases), and despite the few partisans of this method, we consider that this procedure still remains very usefully for small and medium bone defects accompanied by large soft tissue defects.

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