Although covering the huge defect and restoring centring function by transferring a muscle flap can produce good results even in difficult, advanced cases, the success rate is not as high as with the "normal" RC procedure. The success of the operation depends on many small details during the actual procedure, on the patient's positive attitude and on the quality of the physiotherapy.
Regardless of the surgical technique employed in these cases, the procedure is always difficult and requires a surgeon with considerable experience. Whereas certain colleagues prefer the latissimus dorsi muscle transfer, i.e. the transfer of a back muscle to cover the defect, I prefer deltoid flap reconstruction.