Background and objective.

Loss of function or congenital absence of upper limb muscles can significantly impact a patient's quality of life, limiting everyday activities that require elbow flexion or extension.

We describe the technique for dynamic reconstruction of elbow flexion and extension using pedicled transfer of the latissimus dorsi (LD) muscle.

Methods.

We present our experience with the use of this technique in 2 cases and describe the subsequent kinesiological rehabilitation protocol. This protocol is initiated immediately post-surgery, with the support of immobilization splints for the upper limb and gradually progresses to self-assisted mobilization based on patient tolerance. Subsequently, advancement is made to active load-free mobilization, aimed at enhancing daily life activities and increasing elbow joint mobility, quantified using goniometry. Finally, the rehabilitation regimen progresses to resistance-based mobilization.

Results.

Operated patients suffering traumatic loss of the biceps brachii and triceps brachii muscles respectively, exhibited rapid functional recovery and satisfactory reintegration into work and social life.

Conclusions.

In our experience, this surgical technique has demonstrated itself to be an effective and safe option in restoring elbow function and providing coverage for extensive cutaneous defects, eliminating the need for free flaps.

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