Flap Reconstruction of the Knee: A Review of Current Concepts and a Proposed Algorithm

Overview

Journal World J Orthop

Publisher Baishideng Publishing Group

Specialty Orthopedics

Date 2014 Nov 19

PMID 25405089

Citations 23

Authors

Andreas Gravvanis

Antonios Kyriakopoulos

Konstantinos Kateros

Dimosthenis Tsoutsos

Affiliations

Soon will be listed here.

Abstract

A literature search focusing on flap knee reconstruction revealed much controversy regarding the optimal management of around the knee defects. Muscle flaps are the preferred option, mainly in infected wounds. Perforator flaps have recently been introduced in knee coverage with significant advantages due to low donor morbidity and long pedicles with wide arc of rotation. In the case of free flap the choice of recipient vessels is the key point to the reconstruction. Taking the published experience into account, a reconstructive algorithm is proposed according to the size and location of the wound, the presence of infection and/or 3-dimensional defect.

Citing Articles

Efficacy of superficial femoral artery as a recipient in free flap reconstruction around the knee: Four case reports and a literature review.

Ota M, Motomiya M, Watanabe N, Kitaguchi K, Iwasaki N JPRAS Open. 2024; 42:81-96.

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Utilization of the gastrocnemius flap for post-traumatic knee reconstruction: a systematic review.

Gupta R, Weisberger J, Herzog I, Roth J, Lee E Eur J Orthop Surg Traumatol. 2024; 34(5):2255-2261.

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Microvascular free flap coverage of complex soft tissue defects after revision total knee arthroplasty: a cross-sectional observation study.

Hamrouni N, Hojvig J, Knudsen U, Skovgaard K, Jensen L, Bonde C Acta Orthop. 2024; 95:186-191.

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Pedicled Rectus Femoris Flap for Restoration of Suprapatellar Quadriceps Tendon and Defect Coverage after Multiple Reconstruction Attempts-A Case Report and Literature Review.

Hecker A, Watzinger N, Pignet A, Schellnegger M, Reinbacher P, Girsch W J Pers Med. 2024; 14(2).

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Usefulness of perforating branches of the deep femoral artery and vein as recipient vessels during free-flap reconstruction for extensive defects of the thigh.

Miyamae M, Urabe R, Nakai K J Surg Case Rep. 2024; 2023(12):rjad683.

PMID: 38163057 PMC: 10755091. DOI: 10.1093/jscr/rjad683.

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