The gastrocnemius myocutaneous flap used as a over for the exposed knee prosthesis.
نویسندگان
چکیده
Exposure of the prosthesis is one of the problems encountered after arthroplasty of the knee. Eight patients with nine exposed prostheses have been treated by using a gastrocnemius myocutaneous flap to provide cover. This preserved the prosthesis and closed the joint in six of the eight patients.l The factors leading to breakdown of the wound are discussed and the anatomy of the gastrocnemius myocutaneous flap and the operative procedure are described.
منابع مشابه
The free latissimus dorsi flap as primary free flap and crane flap with secondary pedicled transfer.
We are reporting a case of a 43-year-old woman, who developed a soft tissue defect of the knee region following complex lower limb trauma. The defect was covered with a microvascular latissimus dorsi (LD) flap. The patient required a total knee replacement and developed a defect at the anterior aspect of the knee. This defect was covered by a second free LD flap from the ipsilateral side with a...
متن کاملRotation flaps for coverage after total knee arthroplasty
OBJECTIVE To evaluate the results obtained using local myocutaneous rotation flaps in cases of wound dehiscence after total knee arthroplasty. METHODS Patients undergoing these surgical procedures were selected in the 2000-2012 period. The nine selected cases during this period were subjected to flap coverage due to skin dehiscence associated with infection. In eight cases we used rotation fl...
متن کاملThe pediculated gastrocnemius muscle flap as a treatment for soft tissue problems of the knee – indication, placement and results
With the increase of endoprosthetic knee replacements, there is also an increase of critical wounds to the knee due to a high incidence of soft tissue problems (ranging from wound healing defects to severe wound infections). The literature describes a general rate of soft tissue complications of up to 20% [1], [2], with 5% [3] involving exposed bone. These complications are an increasingly impo...
متن کاملCASE REPORT Simultaneous Latissimus Dorsi Myocutaneous Flap Transfer and Revision Total Knee Arthroplasty With Allograft Extensor Mechanism Reconstruction: A Case Report
INTRODUCTION We present the case of a patient undergoing simultaneous reconstruction of a massive soft tissue deficit of the right knee along with total knee arthroplasty and allograft reconstruction of the extensor mechanism after multiple failed attempts to repair and revise the affected joint. METHODS A latissimus dorsi myocutaneous flap was transferred to fill the soft-tissue deficit of t...
متن کاملSkew-flap below-knee amputation.
The success of the long posterior flap in obtaining sound healing at below-knee level is widely recognised in patients with ischaemic disease, and since this method was introduced in 1967 by Burgess and Romano, the number of patients with healing below-knee amputations in ischaemic disease has dramatically increased, and with improved methods of level selection this proportion may increase furt...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 63-B 3 شماره
صفحات -
تاریخ انتشار 1981