gastrocnemius muscle flap and its application in lower extremity reconstruction

Gastrocnemius Muscle Flap and Its Application in Lower Extremity Reconstruction

The Gastrocnemius Muscle Flap for Reconstruction of the Proximal Third of Lower Leg

Soft tissue defect of the lower leg with exposure of bone, tendon, and osteosynthesis plates or total knee artthroplasty is a challenging therapeutic problem. The gastrocnemius muscle flap is one option for coverage. This flap is probably one of the safest flaps, and relatively easy to dissect. However, about functional loss for higher loads especially in sports activities is reported in the li...

Free Flap Salvage in Lower Extremity Reconstruction via Use of Contralateral Lower Extremity Recipient Vessels

Lower extremity trauma is extremely common and accounts for almost 15% of emergency room visits,1 with 492,000 tibia, fibula, and ankle fractures per year in the United States.2 Acute injuries are commonly managed primarily by orthopedic surgeons with fracture fixation or stabilization. In complex fractures involving the lower limb, as in Gustilo grade IIIB or IIIC fractures, limb salvage typic...

NEW APPLICATION FOR THE BITEMPORAL (VISOR) FLAP IN RECONSTRUCTION OF ADVANCED LOWER LIP CARCINOMA

Background: Lip carcinoma is a common cancer with a good prognosis and when patients refer early in the course of disease the results of treatment are acceptable. Surgical procedures for reconstruction of lip defects are the use of remaining lip tissue, tissue from the opposite lip, adjacent cheek tissue, distant flaps and microvascular free flaps. The bitemporal (visor) flap is a regional...

Reintroducing the latissimus-rib free flap as a long bone substitute in the reconstruction of lower extremity injuries

  Abstract   The leg is a complex district with functions of weightbearing support, stability,   and motility. The management of extensive and complex defects is more challenging   and often results in leg amputation or shortening. Leg amputation is a severe   mutilation that alters the patient’s work and social life by limiting ambulation and   self-sufficiency. During a 3 years period we trea...

Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap

BACKGROUND The anterolateral thigh (ALT) perforator flap has become a popular option for treating soft tissue defects of lower extremity reconstruction and can be combined with a segment of the vastus lateralis muscle. We present a comparison of the use of the ALT fasciocutaneous (ALT-FC) and myocutaneous flaps. METHODS We retrospectively reviewed patients in whom free-tissue transfer was per...