Reconstruction of Electrical Burn Sequelae Using a Muscle-Sparing Latissimus Dorsi Flap: A Case Report

The latissimus dorsi (LD) muscle, located in the posterior thoracolumbar region, plays a crucial role in shoulder movement, including extension, adduction, and internal rotation of the humerus. Its reliable vascular anatomy and versatility make it a frequent option in reconstructive surgery for complex defects, particularly when local tissues are compromised due to severe trauma. High-voltage electrical burns often cause deep, systemic damage, requiring surgical strategies that maximize tissue coverage while minimizing functional loss. We present the case of a 54-year-old man who presented to the emergency department after sustaining a high-voltage electrical burn. The clinical course was complicated by ischemia and purulent discharge in the upper limbs and thoracic wound, despite antibiotic therapy and primary closure attempts. A thoracic defect required debridement and was reconstructed using a muscle-sparing LD flap. This approach aimed to preserve the majority of the LD muscle and allow for faster rehabilitation for the patient.