Large Buruliulcer of Right Arm Complicated by Radial Nerve Palsy Treated with Latissimus Dorsi Flap and Triple Tendon Transfer

Abstract

The author reports a case of a large Buruliulcer (Mycobacterium ulcerans infection) of right arm complicated by radial nerve palsy. Mycobacterium ulcerans infection was treated with antibiotics (Rifampicin and Streptomycin) for 8 weeks, as recommended by the World Health Organization. For large Buruliulcer, necrotic tissue after cleaning, Latissimus dorsi flap was performed. Radial nerve palsy was treated by a triple tendon transfer. The transfer of pronatorteres to extensor carpiradial is brevis,flexor carpiulnar is to extensor rdigitorum communis and Palmaris longus to extensor pollicis longus has been made to restore the function of the extension of the wrist, fingers and thumb. Immobilization and rehabilitation framed surgery. The patient recovered the different functions of member repaired. After follow-up of three years, no complications (bone or skin) were observed.