Shoulder function after breast reconstruction with the latissimus dorsi flap: A prospective cohort study - Combining DASH score and objective evaluation

C. Garusi, A. Manconi, G. Lanni, G. Lomeo, P. Loschi, M. C. Simoncini, L. Santoro, M. Rietjens, J. Y. Petit

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)78-86
Number of pages9
JournalBreast
Volume27
DOIs
Publication statusPublished - Jun 1 2016

Keywords

  • Breast reconstruction
  • Joint function
  • Latissimus dorsi flap

ASJC Scopus subject areas

  • Surgery

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