P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?

SG Haidar; CC Kat; F Fatah; SC Deshmukh

doi:10.1302/0301-620X.90BSUPP_II.0900390

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P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?

SG Haidar
CC Kat
F Fatah
SC Deshmukh

P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?

Haidar S, Kat C, Fatah F, Deshmukh S. P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?. Orthop Procs. 2008;90-B(SUPP_II):390-390. doi:10.1302/0301-620X.90BSUPP_II.0900390

Haidar, SG, et al. “P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?.” Orthopaedic Proceedings, vol. 90-B, no. SUPP_II, 2008, pp. 390-390., https://doi.org/10.1302/0301-620X.90BSUPP_II.0900390

Haidar, S., Kat, C., Fatah, F., & Deshmukh, S. (2008). P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?. Orthopaedic Proceedings, 90-B(SUPP_II), 390-390. https://doi.org/10.1302/0301-620X.90BSUPP_II.0900390

Haidar, S., Kat, C., Fatah, F. and Deshmukh, S. (2008) “P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?.” Orthopaedic Proceedings, 90-B(SUPP_II), pp. 390-390. Available at: https://doi.org/10.1302/0301-620X.90BSUPP_II.0900390

Haidar, SG, CC Kat, F Fatah, and SC Deshmukh. “P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?.” Orthopaedic Proceedings 90-B, no. SUPP_II (2008): 390-390. https://doi.org/10.1302/0301-620X.90BSUPP_II.0900390

Haidar S, Kat C, Fatah F, Deshmukh S. P94 BREAST RECONSTRUCTION SURGERY USING LATISSIMUS DORSI FLAP: DOES IT AFFECT THE SHOULDER FUNCTION?. Orthop Procs. 2008 Jul 1;90-B(SUPP_II):390-390. https://doi.org/10.1302/0301-620X.90BSUPP_II.0900390

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Abstract

The purpose of this study was to assess shoulder function after breast reconstruction surgery using latissimus dorsi flap.

Sixty-eight patients (72 breasts) had this operation. Average follow up was 38 months (range 24 to 54 months). DASH and Constant-Murley were used for clinical assessment. Twenty-nine shoulders found to have a normal function; whereas, 11 shoulders had mild disability, 10 shoulders had moderate disability and 8 shoulders had severe disability. However, only 6 patients reported being unsatisfied with their outcome. Furthermore, all these 6 patients were not satisfied with their breast reconstruction outcome.

This study confirms that following breast reconstruction surgery using latissimus dorsi flap, there is a considerable deterioration of shoulder function of varying degrees. Nevertheless, shoulder function is not the main concern of this group of patients.

Correspondence should be addressed to Mr Carlos Wigderowitz, Senior Lecturer, University Department of Orthopaedic and Trauma Surgery, Ninewells Hospital and Medical School, Dundee DD1 9SY.