CASE REPORT Simultaneous Latissimus Dorsi Myocutaneous Flap Transfer and Revision Total Knee Arthroplasty With Allograft Extensor Mechanism Reconstruction: A Case Report
نویسندگان
چکیده
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 the right knee. During the same procedure, a previously placed antibiotic-cement spacer was removed and a new total knee prosthesis was implanted. What remained of the damaged extensor mechanism was excised and replaced with a cadaveric allograft. RESULTS The latissimus dorsi flap provided the necessary soft-tissue coverage of the revision. The new knee components and allograft extensor mechanism were satisfactorily implanted. One year after simultaneous reconstruction, the knee remains functional and free of infection. DISCUSSION Although current literature may have indicated conversion to arthrodesis or prophylactic soft-tissue repair prior to revision, simultaneous soft-tissue and extensor mechanism repair along with revision total knee arthroplasty have yielded promising results in this patient.
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 کاملAutologous Latissimus Dorsi Breast Reconstruction Flap Salvage: Microvascular Anastomosis with Serratus Branch
Autologous breast reconstruction has become a standard option during the recovery of breast cancer survivors. Although pedicle damage is a rare complication of this procedure, extensive torsion or tension can lead to partial or total flap failure. We report a case of partial flap salvage after accidental transection of the pedicled blood supply within the intramuscular course of a latissimus do...
متن کاملBreast Reconstruction Using a Latissimus Dorsi Flap with Skin Graft after Total Paliative Mastectomy in a Large Advanced Carcinoma Breast
Latissimus dorsi (LD) myocutaneous flap can be regarded as the choice flap for autologous breast reconstruction following a total mastectomy in a case of large breast cancer with skin graft where microsurgical expertise are not available and patient are not suitable for other different types of flap .It is regarded as a relatively safe procedure, no microsurgical expertise is needed with fever ...
متن کاملImmediate latissimus dorsi pedicle flap reconstruction following the removal of an eight kilogram giant phyllodes tumour of the breast: a case report
INTRODUCTION Phyllodes tumors account for less than 1% of breast tumors in women, and giant phyllodes tumors are those that are larger than 10 cm in diameter. Removal of such large tumors places a huge burden on the surgeon to reconstruct a breast that is aesthetically acceptable by the patient. We report what may be the largest giant phyllodes tumor and, most likely, the first latissimus dorsi...
متن کاملComplex posterior thoracic wall reconstruction using a crossover combined latissimus dorsi and serratus anterior free flap.
Radical resection of an extended malignant sarcoma of the chest wall requires full-thickness thoracic chest wall reconstruction. Reconstruction is tedious in the case of posteriorly located tumours, because the ipsilateral pedicled myocutaneous latissimus dorsi flap is involved and hence not usable for soft tissue coverage. We report an original case of a left giant dorsal chondrosarcoma origin...
متن کامل