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Shoulder function following autologous latissimus dorsi breast reconstruction. A prospective three year observational study comparing quilting and non-quilting donor site techniques
Journal of Plastic, Reconstructive & Aesthetic Surgery, 10/27/09

Button J et al. – ALD flap breast reconstruction generally results in a functionally insignificant increase in longterm DASH score, although a small subset of patients do develop longterm impairment, and quilting does not appear to inhibit shoulder function.

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