{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T06:21:21Z","timestamp":1773037281906,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"vor","delay-in-days":66,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Breast Journal"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background<\/jats:title>\n The lipofilled latissimus dorsi mini\u2010flap (LDMF\u2010L) broadens autologous breast\u2010reconstruction options, yet its functional impact on the shoulder remains uncertain.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To evaluate shoulder strength, range of motion (ROM) and patient\u2010reported upper\u2010limb function QuickDash 90\u2009days after breast reconstruction with the LDMF\u2010L.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Prospective cohort of 20 patients operated on between November 2022 and November 2024. Inclusion: Breast cancer requiring immediate or delayed reconstruction with LDMF\u2010L; exclusion: Implant use or major pre\u2010existing limitation. Strength (Oxford scale), ROM (goniometry) and QuickDASH score were assessed preoperatively and at 90\u2009days. Wilcoxon, Student\u2032s\n t<\/jats:italic>\n \u2010test, Mann\u2013Whitney and McNemar tests were used appropriately (\n \u03b1<\/jats:italic>\n \u2009=\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Mean age 54\u2009\u00b1\u200911.8\u2009years; immediate\/delayed reconstruction\u2009=\u200950\/50%. Strength remained unchanged in 85% (\n p<\/jats:italic>\n = 1.000). Active flexion and abduction showed significant reductions (\n p<\/jats:italic>\n = 0.016 and 0.045), with no difference in rotations. QuickDASH increased from 8\u2009\u00b1\u200916 to 19\u2009\u00b1\u200924 (\n p<\/jats:italic>\n = 0.008); nevertheless, 80% stayed within minimal\/mild disability.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The LDMF\u2010L preserves strength and produces only mild early ROM decreases with limited functional impact, supporting its functional safety as an implant\u2010free autologous option.<\/jats:p>\n <\/jats:sec>","DOI":"10.1155\/tbj\/5107548","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:31:22Z","timestamp":1773034282000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Shoulder Mobility After Breast Reconstruction With a Lipofilled Latissimus Dorsi Mini\u2010Flap: A Prospective Cohort Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5564-5141","authenticated-orcid":false,"given":"Bruno Carvalho","family":"Carelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Bagnoli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo de Melo Carvalho","family":"Rocha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Francisco","family":"Rinaldi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9478-5616","authenticated-orcid":false,"given":"Vilmar Marques de","family":"Oliveira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,8]]},"reference":[{"key":"e_1_2_9_1_2","unstructured":"Brazilian National Cancer Institute (Inca) Estimate 2023: Cancer Incidence in Brazil 2022."},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2023.927748"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000163329.96736.6A"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.5152\/ejbh.2019.4727"},{"key":"e_1_2_9_5_2","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.cps.2017.08.006","article-title":"Indications for implant-enhanced Latissimus Dorsi Reconstruction","volume":"45","author":"Mushin O. P.","year":"2018","journal-title":"Clinics in Plastic Surgery"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001691"},{"key":"e_1_2_9_7_2","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/SAP.0000000000001764","article-title":"Autologous Latissimus Dorsi Flap with Immediate Fat Grafting","volume":"82","author":"Brondi R. S.","year":"2019","journal-title":"Annals of Plastic Surgery"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840138"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.08.025"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000049448.56511.23"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.25524"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2016.02.017"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31828659de"}],"container-title":["The Breast Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tbj\/5107548","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/tbj\/5107548","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tbj\/5107548","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:31:24Z","timestamp":1773034284000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/tbj\/5107548"}},"subtitle":[],"editor":[{"given":"Imtiaz","family":"Wani","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/tbj\/5107548"],"URL":"https:\/\/doi.org\/10.1155\/tbj\/5107548","archive":["Portico"],"relation":{},"ISSN":["1075-122X","1524-4741"],"issn-type":[{"value":"1075-122X","type":"print"},{"value":"1524-4741","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-07-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5107548"}}