Physiotherapy Management For Pedicled Ld Flap And Stsg E.C Soft Tissue Tumor : A Case Report

Authors

  • Kamela Afrelia Universitas Muhammadiyah Surakarta
  • Mahendra Wahyu Dewangga Universitas Muhammadiyah Surakarta
  • Nilam Nur Hamidah RSUP Prof. Dr. I.G.N.G. Ngoerah Bali

DOI:

https://doi.org/10.55606/jikki.v4i1.2948

Keywords:

Physiotherapy, Infrared, Exercise, Pedicled LD Flap, STSG

Abstract

Background: Pedicled LD Flap and STSG are reconstructive measures to cover defects in extensive tumor conditions in the brachii region, especially the elbow. In this case, physiotherapy management is given to accelerate recovery to be more optimal, reduce the risk of complications and improve functional results in the brachii region.  Methods: In this study using the Case report method conducted at Prof. Dr. I.G.N.G Ngoerah Bali Hospital in a male patient aged 15 post Pedicled LD Flap and STSG with complaints of pain in the surgical scar area, limited joint motion, and impaired functional ability. Given exercise, infrared modality, and ADL training with 1x a week for 2 weeks. Results: Overall there was an increase in sinistra AGA muscle strength, increased joint motion scope, and improved functional ability with the SPADI Index. Conclusion: Based on research using this case report, it shows that physiotherapy management in post Pedicled LD Flap and STSG E.C Soft Tissue Tumor conditions given infrared, exercise, and ADL training can be concluded to be able to reduce pain, reduce stiffness, increase the scope of joint motion, increase muscle strength, and improve joint functional abilities and daily activities of patients.

References

Gurbuz, Kaan, Ekinci Yakup.(2023).Key to the Success of a pedicle latissimus dorsi musculocutaneous flap in patients with soft tissue defects around the elbow complicated by trauma.Erciyes Med J 2023 : 45(1) : 90-7. Doi : 10.14744/etd.2022.38479

Braza, Mattew E et.al.(2023).Split Thickness Skin Grafts. StarPearls (Internet). Update July 25, 2023.

Al-Qattan, Mohammad M. et.al. (2021). Pedicle Abdominal Flaps For Hand Reconstruction In Adults: Physiotherapy Of The Attached Hand. Plastic and Reconstructive Surgery-global Open 9(3):p e3474,March 2021. Doi: 10.1097/GOX.0000000000003474

Chen, Youbai MD, et.al. (2021).Treatment Of Severa Postburn Contracture Of The Elbow Via Distraction With External Circular Frame In Pediatric Patient.Annals of Plastic Surgery 87(3):p 253-259,September 2021. Doi : 10.1097/SAP.0000000000002960

Cheetham, Beccy (2020).Physiotherapy advice after breast reconstruction surgery (Lattisimus dorsi Flap).Oxford University Hospitals : NHS Foundation Trust.

Naalla, Ravikiran et.al.(2019). Technique and outcomes of pedicle latissimus dorsi myocutaneous flap for oncologic defects around the clavicle.Internasional Microsurgery Journal. 2019; 3(1) : 2. Doi : 10.24983/scitemend.imj.2019.00098

Kameda,Takuya. et.al. (2019).Resroration Of Elbow Flexion With A Pedicled Latissimus Dorsi Mypcutaneus Flap To A Brachial Plexus Injury At The Terminal Nerve Level. Plast Reconstr Surg Global Open 2019 Okt ; 7(10) : e2472.

Hacquebord JH, Hanel DP, Friedrich JB. The pedicled latissimus dorsi flap provides effective coverage for large and complex soft tissue injuries around the elbow. Hand (N Y) 2018; 13(5): 586–92.

Boucher F, Pinatel B, Shipkov H, Mertens P, Rouviere O, Braye F, et.al. Anatomical study of muscular latissimus dorsi surface vascularized by the transverse branch of thoraco-dorsal artery. [Artikel].Ann Chir Plast Esthet 2014; 59(5): 327–32.

Prayuda, Muhammad Rizki, Anggraeni Janar Wulan.(2018).Peran Split Thickness Skin Graft (STSG) Pada Open Degloving.J Agromedicine Unila. 5(2), Desember 2018.

Engdahl Ryan et.al.(2016). Pedicle Lattisimus Dorsi Flap for Shoulder Soft tissue reconstruction After Excision of a Musculoskeletal Neoplasm. JBJS Essential Surgical Tecniques.6(2):p e16,April 27,2016. Doi:10.2106/JBJS.ST.16.00002

Fuss H Management of Skin Graft {Internet}.2010. tersedia dari : https://www.awma.com.au/publications/2010_sa_skin_grafts.pdf

James et.al.{artikel}.Physiotherapy Latissimus Dorsi Flap Reconstruction. St. James’s Hospital. Diakses 05 Maret 2024.

Château J, Boucher F, Braye F, Erhard L, Mojallal A. Reconstruction of soft tissue defects of the distal third of the arm using a muscle-sparing latissimus dorsi musculocutaneous flap. Hand Surg Rehabil 2018; 37(1): 16–19.

Elsayed, Mohamed.(2018).Different Modalities Of Soft Tissue Coverage Of Hand And Wrist Defects. Clin.Pract.2018 : 15(1). Doi : 10.4172/clinical-practice.1000394.

Alviane, Dhita Dwi. (2022). Flap dan Graft for eyelid defect reconstruction after wide excision of basal cell carcinoma. FK UNPAD : July, 2022.

Dedi Nurcipto, Gutama Indra Gandha.(2017).Pengendalian Dosis Inframerah pada alat terapi menggunakan pulse width Modulation (PWM). SETRUM 6:1 (2017) 194-204.p-ISSN : 2301-4652/e-ISSN : 2503-068X.

Downloads

Published

2024-03-12

How to Cite

Kamela Afrelia, Mahendra Wahyu Dewangga, & Nilam Nur Hamidah. (2024). Physiotherapy Management For Pedicled Ld Flap And Stsg E.C Soft Tissue Tumor : A Case Report. Jurnal Ilmu Kedokteran Dan Kesehatan Indonesia, 4(1), 80–88. https://doi.org/10.55606/jikki.v4i1.2948

Similar Articles

You may also start an advanced similarity search for this article.