[Emergency Coverage of Post-traumatic Losses of Cutaneous Substances of the Anterior Face of the Knee Using Proximally Based Sural Fasciocutaneous Flap: About 4 Cases of Articular Wounds]

Overview

Journal Pan Afr Med J

Date 2020 Aug 1

PMID 32733628

Authors

Hatim Abid

Ahmed Bouziane

Mohamed El Idrissi

Mohamed Shimi

Abdelhalim El Ibrahimi

Abdelmajid El Mrini

Affiliations

Soon will be listed here.

Abstract

Our study reports 4 cases of male patients with wounds on the anterior face of the knee loosing cutaneous substance after motorcycle accident. The patients had undergone surgery involving the debridement and the application of four proximally based sural fasciocutaneous flaps since 2012. The average age of patients ranged from 28 to 42 years. The highest loss of cutaneous substance measured 14 x 10 cm. The average pedicle length was 14 cm. The post-operative suites were uneventful with a satisfactory wound healing. From a functional point of view the knee and the ankle were completely mobile. This study shows the effectiveness and reliability of proximally based sural fasciocutaneous flap in the coverage of post-traumatic losses of cutaneous substances of the anterior face of the knee, and allows for limit the indications for heads of the gastrocnemius muscle flaps.

References

Babu N, Chittaranjan S, Abraham G, Bhattacharjee S, Prem H, Korula R . Reconstruction of the quadriceps apparatus following open injuries to the knee joint using pedicled gastrocnemius musculotendinous unit as bridge graft. Br J Plast Surg. 1994; 47(3):190-3. DOI: 10.1016/0007-1226(94)90053-1. View

Mathes S, Alpert B, Chang N . Use of the muscle flap in chronic osteomyelitis: experimental and clinical correlation. Plast Reconstr Surg. 1982; 69(5):815-29. DOI: 10.1097/00006534-198205000-00018. View

Lewis Jr V, Mossie R, Stulberg D, Bailey M, GRIFFITH B . The fasciocutaneous flap: a conservative approach to the exposed knee joint. Plast Reconstr Surg. 1990; 85(2):252-7. View

Cheon S, Kim I, Park W, Kim H . The proximally-based sural artery flap for coverage of soft tissue defects around the knee and on the proximal third and middle third of the lower leg: 10 patients followed for 1-2.5 years. Acta Orthop. 2008; 79(3):370-5. DOI: 10.1080/17453670710015274. View

Corten K, Struelens B, Evans B, Graham E, Bourne R, MacDonald S . Gastrocnemius flap reconstruction of soft-tissue defects following infected total knee replacement. Bone Joint J. 2013; 95-B(9):1217-21. DOI: 10.1302/0301-620X.95B9.31476. View

Jepegnanam T, Boopalan P, Nithyananth M, Titus V . Reconstruction of complete knee extensor mechanism loss with gastrocnemius flaps. Clin Orthop Relat Res. 2009; 467(10):2662-7. PMC: 2745445. DOI: 10.1007/s11999-009-0735-8. View

Markovich G, Dorr L, Klein N, McPherson E, Vince K . Muscle flaps in total knee arthroplasty. Clin Orthop Relat Res. 1995; (321):122-30. View

Satoh K, Fukuya F, Matsui A, Onizuka T . Lower leg reconstruction using a sural fasciocutaneous flap. Ann Plast Surg. 1989; 23(2):97-103. DOI: 10.1097/00000637-198908000-00001. View

Menderes A, Demirdover C, Yilmaz M, Vayvada H, Barutcu A . Reconstruction of soft tissue defects following total knee arthroplasty. Knee. 2002; 9(3):215-9. DOI: 10.1016/s0968-0160(02)00010-8. View

10.

Suri M, Friji M, Ahmad Q, Yadav P . Utility of proximally based sural artery flap for lower thigh and knee defects. Ann Plast Surg. 2010; 64(4):462-5. DOI: 10.1097/SAP.0b013e3181b4c371. View

11.

Cariou J, Lambert F, Arcila M, Tripon P, Bellavoir A . [Posterolateral sural fasciocutaneous island flap with proximal aponeurotic pedicle. Anatomical study and use for cutaneous cover of the knee. Apropos of 9 clinical cases]. Ann Chir Plast Esthet. 1995; 40(2):148-61. View

12.

Dennis D . Wound complications in total knee arthroplasty. Orthopedics. 1997; 20(9):837-40. DOI: 10.3928/0147-7447-19970901-26. View

13.

Shim J, Kim H . A novel reconstruction technique for the knee and upper one third of lower leg. J Plast Reconstr Aesthet Surg. 2006; 59(9):919-26. DOI: 10.1016/j.bjps.2006.01.025. View

14.

Hallock G . Relative donor-site morbidity of muscle and fascial flaps. Plast Reconstr Surg. 1993; 92(1):70-6. DOI: 10.1097/00006534-199307000-00010. View

15.

PONTEN B . The fasciocutaneous flap: its use in soft tissue defects of the lower leg. Br J Plast Surg. 1981; 34(2):215-20. DOI: 10.1016/s0007-1226(81)80097-5. View

16.

Pan H, Zheng Q, Yang S . Utility of proximally based sural fasciocutaneous flap for knee and proximal lower leg defects. Wounds. 2015; 26(5):132-8. View

17.

Lin S, Lai C, Chiu Y, Lin T, Chou C . Adipofascial flap of the lower leg based on the saphenous artery. Br J Plast Surg. 1996; 49(6):390-5. DOI: 10.1016/s0007-1226(96)90008-9. View