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Page 8 of 22 Vakhshori et al. Plast Aesthet Res 2023;10:36 https://dx.doi.org/10.20517/2347-9264.2022.78

Table 2. Reported outcomes of free latissimus dorsi transfer. MRC: Medical Research Council muscle grade
Elbow Mean
Number Mean
Reference of age Pathology Neurotization Vessel flexion MRC MRC elbow Complications
anastomosis MRC < 3
≥ 4
flexion
patients (years)
3 (degrees)
[44]
Terzis et al. 37 Not Brachial 15 intercostal Not specified Mean muscle grade NR 2 failures (in 42
specified plexus 7 distal spinal reported transfers for
trauma accessory Intercostal 3.33 elbow flexion
4 cervical Distal accessory 3.05 and extension)
plexus Cervical plexus 2.8
4 ipsilateral Ipsilateral plexus 2.66
plexus cC7 3.22
5 contralateral Contralateral lateral
C7 pectoral 2
1 contralateral
lateral pectoral
[45]
Doi et al. 4 21 Brachial Distal spinal Not specified 0 0 4 90 None reported
plexus accessory
trauma
Doi et al. [46] 3 32 Brachial Distal spinal Not specified 0 2 1 83 1 recurrence of
plexus accessory nerve palsy
trauma
[47]
Terzis et al. 20 Not Brachial Not specified Not specified NR NR NR NR 3 hematomas
specified plexus 7 seromas
trauma
[40]
Minami et al. 2 Not Brachial Intercostal Not specified 0 2 0 90 None reported
specified plexus nerves (4,5)
trauma
Botte et al. [42] 3 Not Brachial Not specified Not specified 2 1 0 23 Not specified
specified plexus
trauma

Figure 6. Harvested free latissimus dorsi flap.