Anterior tibial artery perforator plus flaps for reconstruction of post-burn flexion contractures of the knee joint.
نویسندگان
چکیده
UNLABELLED Background. Post-burn flexion contractures of the knee may arise even with adequate treatment of the burn injury. After release of the contracture, most of these defects require flap coverage. Here we describe the application of the perforator plus flap concept in the management of these contractures. Method. Between December 2010 and December 2011 five female and two male patients with knee contractures were operated on using a perforator plus flap from the anterior tibia artery perforator. In one patient both sides were operated on and the rest had unilateral surgeries. All patients had mature scars and the aetiology was thermal burn injury. All these contractures were categorized as Category 4 and Level 3 by the ICIDH guidelines with an average contracture angle of 87.5 degrees. The flap was raised after release of the defect and a Doppler study located the perforator below the fibular head. The base of the flap was kept intact at all times. The flap was then transposed towards the defect and inset in a tensionless manner. Results. All flaps survived well with marginal necrosis in only one flap, providing stable coverage to the knee joint. The average residual contracture was around 10 degrees and the average range of flexion was 10-120 degrees. Conclusion. The perforator plus flap can be an excellent choice in defects over the posterior aspect of the knee where important neurovascular structures and tendons are exposed. LEVEL OF EVIDENCE Level IV.
منابع مشابه
Perforator plus fasciocutaneous flaps in the reconstruction of post-burn flexion contractures of the knee joint.
BACKGROUND A post-burn flexion contracture of the knee joint is a disabling condition which interferes with an upright posture and a bipedal locomotion. Islanded perforator flaps have been used to resurface the tissue defect which is produced as a result of the contracture release. Despite their various advantages, they are limited by an increased tendency to undergo venous congestion. Perforat...
متن کاملPerforator Plus Fasciocutaneous Flaps in the Reconstruction of Post-Burn Flexion Contractures of the Knee Joint
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The Anterior Interosseus Artery Perforator Flap: Anatomical Dissections and Clinical Study
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متن کاملAnterior tibial artery perforator flap for defects around the knee: a case report
Soft tissue reconstruction around the knee joint is usually complex for reconstructive surgeons. Defects in this area are largely caused by trauma, chronic infection, tumor, and surgical infection. In this article, we report a case of using anterior tibial artery perforator flap for reconstructing soft tissue defect around the knee joint. The patient was a 45-year-old male with an open patella ...
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BACKGROUND Mainstay of post-burn reconstruction is release and split skin grafting. Pedicle flaps are cumbersome to the patient, require multiple procedures and hospitalization. Free flaps are technically demanding and facilities are not universally available. Here we evaluated the local perforator flaps for post-burn reconstruction. METHODS We have used sixteen perforator propellar flaps fo...
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ورودعنوان ژورنال:
- Annals of burns and fire disasters
دوره 25 2 شماره
صفحات -
تاریخ انتشار 2012