PubMed · 13096972
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F R OBER. 1953. Lame backs.. https://pubmed.ncbi.nlm.nih.gov/13096972/
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Patients with an extraabdominal desmoid tumor have multiple minor bone abnormalities. The authors describe a rare case of an extraabdominal desmoid tumor that developed in a scar 2 years after surgery for Sprengel's deformity of the right shoulder in an 8-year-old girl. The association between the tumor and Sprengel's deformity has never been reported previously. Antecedent surgical trauma might play a role in the development of this tumor.
Although exact information on the distribution of reliable perforators has not been published, its underlying reproducible pattern may be experienced with clinical trials. The LD perforator flap is a typical example of thin perforator flap and it can be used widely as a resurfacing tool or reconstructive modality with various composition. Through clinical experience it was validated that a single reliable perforator is sufficient for perfusion of the entire flap. Finally, the perforator concept gives the surgeon the freedom to select, tailor, or compose the flap independently from the limited indications of the conventional flaps, according to the donor or pedicle problems. With increasing use of the perforator flap, the conventional flap can be expanded to its ultimate potential with more reliability.