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CC BY-NC-ND 4.0 · Indian J Plast Surg 2019; 52(01): 125-133
DOI: 10.1055/s-0039-1688536
DOI: 10.1055/s-0039-1688536
Review Article
Soft Tissue Coverage for Defects around the Knee Joint
Further Information
Publication History
Publication Date:
17 May 2019 (online)
Abstract
Soft tissue injuries around the knee present a challenge for providing a cover when there is loss of tissue. Various flaps comprising of skin and muscles around the joint have been described. Understanding the anatomical basis and the design of these flaps can aid in choosing the right flap for a given situation. A prompt cover of the defects aids in quicker healing and quicker rehabilitation of the patient.
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References
- 1 Gravvanis A, Kyriakopoulos A, Kateros K, Tsoutsos D. Flap reconstruction of the knee: a review of current concepts and a proposed algorithm. World J Orthop 2014; 5 (05) 603-613
- 2 Salgado CJ, Mardini S, Jamali AA, Ortiz J, Gonzales R, Chen HC. Muscle versus nonmuscle flaps in the reconstruction of chronic osteomyelitis defects. Plast Reconstr Surg 2006; 118 (06) 1401-1411
- 3 Buono P, Castus P, Dubois-Ferrière V. et al. Muscular versus non-muscular free flaps for soft tissue coverage of chronic tibial osteomyelitis. World J Plast Surg 2018; 7 (03) 294-300
- 4 Cherubino M, Corno M, D'Arpa S. et al. Muscle versus fasciocutaneous flap in lower limb reconstruction: is there a best option?. J Reconstr Microsurg 2017; 33 (S 01) S27-S33
- 5 Cho EH, Shammas RL, Carney MJ. et al. Muscle versus fasciocutaneous free flaps in lower extremity traumatic reconstruction: a multicenter outcomes analysis. Plast Reconstr Surg 2018; 141 (01) 191-199
- 6 Akhtar MS, Khan AH, Khurram MF, Ahmad I. Inferiorly based thigh flap for reconstruction of defects around the knee joint. Indian J Plast Surg 2014; 47 (02) 221-226
- 7 Chang N, Mathes SJ. Comparison of the effect of bacterial inoculation in musculocutaneous and random-pattern flaps. Plast Reconstr Surg 1982; 70 (01) 1-10
- 8 Le Nen D, Hu W, Liot M, Moineau G, Gerard R. Gastrocnemius medial flaps. Interact Surg 2007; 1: 1-10
- 9 Veber M, Vaz G, Braye F. et al. Anatomical study of the medial gastrocnemius muscle flap: a quantitative assessment of the arc of rotation. Plast Reconstr Surg 2011; 128 (01) 181-187
- 10 Babu NV, Chittaranjan S, Abraham G, Bhattacharjee S, Prem H, Korula RJ. 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 (03) 190-193
- 11 Keller A, Allen R, Shaw W. The medial gastrocnemius muscle flap: a local free flap. Plast Reconstr Surg 1984; 73 (06) 974-976
- 12 Salibian AH, Rogers FR, Lamb RC. Microvascular gastrocnemius muscle transfer to the distal leg using saphenous vein grafts. Plast Reconstr Surg 1984; 73 (02) 302-307
- 13 Bashir AH. Inferiorly-based gastrocnemius muscle flap in the treatment of war wounds of the middle and lower third of the leg. Br J Plast Surg 1983; 36 (03) 307-309
- 14 Agarwal P, Dawar R, Yadav P. The segmental gastrocnemius muscles’ flap: a cadaveric study. J Plast Reconstr Aesthet Surg 2011; 64 (09) 1202-1206
- 15 Hyodo I, Nakayama B, Takahashi M, Toriyama K, Kamei Y, Torii S. The gastrocnemius with soleus bi-muscle flap. Br J Plast Surg 2004; 57 (01) 77-82
- 16 Wagner T, Hupkens P, Slater NJ, Ulrich DJO. The proximally based long peroneal muscle turnover flap: a novel salvage flap for small to medium-sized defects of the knee. J Plast Reconstr Aesthet Surg 2016; 69 (04) 533-537
- 17 Tobin GR. Vastus medialis myocutaneous and myocutaneoustendinous composite flaps. Plast Reconstr Surg 1985; 75 (05) 677-685
- 18 Mitsala G, Varey AH, O'Neill JK, Chapman TW, Khan U. The distally pedicled gracilis flap for salvage of complex knee wounds. Injury 2014; 45 (11) 1776-1781
- 19 Wang Y, Bégué T, Masquelet AC. Anatomic study of the distally based vastus lateralis muscle flap. Plast Reconstr Surg 1999; 103 (01) 101-103
- 20 Swartz WM, Ramasastry SS, McGill JR, Noonan JD. Distally based vastus lateralis muscle flap for coverage of wounds about the knee. Plast Reconstr Surg 1987; 80 (02) 255-265
- 21 Auregan JC, Bégué T, Tomeno B, Masquelet AC. Distally-based vastus lateralis muscle flap: a salvage alternative to address complex soft tissue defects around the knee. Orthop Traumatol Surg Res 2010; 96 (02) 180-184
- 22 Rao AJ, Kempton SJ, Erickson BJ, Levine BR, Rao VK. Soft tissue reconstruction and flap coverage for revision total knee arthroplasty. J Arthroplasty 2016; 31 (07) 1529-1538
- 23 Ihara J, Imanishi N, Kishi K. Venous anastomosis for prevention of venous congestion in distally based flaps. Plast Reconstr Surg Glob Open 2017; 5 (12) e1585
- 24 Clavert P, Cognet JM, Baley S. et al. Anatomical basis for distal sartorius muscle flap for reconstructive surgery below the knee. Anatomical study and case report. J Plast Reconstr Aesthet Surg 2008; 61 (01) 50-54
- 25 Shen YM, Yu DN, Hu XH, Qin FJ, Li M, Ning FG. Repairing proximal and middle lower-leg wounds with retrograde sartorius myocutaneous flap pedicled by perforating branches of medial inferior genicular artery or posterior tibial artery. J Plast Reconstr Aesthet Surg 2012; 65 (09) 1158-1164
- 26 Feldman JJ, Cohen BE, May Jr JW. The medial gastrocnemius myocutaneous flap. Plast Reconstr Surg 1978; 61 (04) 531-539
- 27 McCraw JB, Fishman JH, Sharzer LA. The versatile gastrocnemius myocutaneous flap. Plast Reconstr Surg 1978; 62 (01) 15-23
- 28 Innocenti M, Cardin-Langlois E, Menichini G, Baldrighi C. Gastrocnaemius-propeller extended miocutanous flap: a new chimaeric flap for soft tissue reconstruction of the knee. J Plast Reconstr Aesthet Surg 2014; 67 (02) 244-251
- 29 Zhou G, Zhang Q-X, Chen G-Y. The earlier clinic experience of the reverse-flow anterolateral thigh island flap. Br J Plast Surg 2005; 58 (02) 160-164
- 30 Pan SC, Yu JC, Shieh SJ, Lee JW, Huang BM, Chiu HY. Distally based anterolateral thigh flap: an anatomic and clinical study. Plast Reconstr Surg 2004; 114 (07) 1768-1775
- 31 Demirseren ME, Efendioglu K, Demiralp CO, Kilicarslan K, Akkaya H. Clinical experience with a reverse-flow anterolateral thigh perforator flap for the reconstruction of soft-tissue defects of the knee and proximal lower leg. J Plast Reconstr Aesthet Surg 2011; 64 (12) 1613-1620
- 32 Yeh H-K, Hsu C-C, Lin C-H. et al. Reverse-flow anterolateral thigh flap without antegrade venous reconstruction for knee soft-tissue reconstruction. Formosan Journal of Surgery 2015; 48: 21-25
- 33 Wang XC, Lu Q, Li XF. et al. Reversed anterolateral thigh adipofascial flap for knee and proximal calf defects. Burns 2008; 34 (06) 868-872
- 34 Sahasrabudhe P, Panse N, Baheti B, Jadhav A, Joshi N, Chandanwale A. Reconstruction of complex soft-tissue defects around the knee joint with distally based split vastus lateralis musculocutaneous flap: a new technique. J Plast Reconstr Aesthet Surg 2015; 68 (01) 35-39
- 35 Hierner R, Reynders-Frederix P, Bellemans J, Stuyck J, Peeters W. Free myocutaneous latissimus dorsi flap transfer in total knee arthroplasty. J Plast Reconstr Aesthet Surg 2009; 62 (12) 1692-1700
- 36 Venkatramani H, Sabapathy SR, Nayak S. Free-flap cover of complex defects around the knee using the descending genicular artery as the recipient pedicle. J Plast Reconstr Aesthet Surg 2014; 67 (01) 93-98
- 37 Cavadas PC, Sanz-Giménez-Rico JR, Gutierrez-de la Cámara A, Navarro-Monzonís A, Soler-Nomdedeu S, Martínez-Soriano F. The medial sural artery perforator free flap. Plast Reconstr Surg 2001; 108 (06) 1609-1615 discussion 1616–1617
- 38 Shim JS, Kim HH. A novel reconstruction technique for the knee and upper one third of lower leg. J Plast Reconstr Aesthet Surg 2006; 59 (09) 919-926 discussion 927
- 39 Sananpanich K, Atthakomol P, Luevitoonvechkij S, Kraisarin J. Anatomical variations of the saphenous and descending genicular artery perforators: cadaveric study and clinical implications for vascular flaps. Plast Reconstr Surg 2013; 131 (03) 363e-372e
- 40 Li Z, Liu K, Lin Y, Li L. LI. Lateral sural cutaneous artery island flap in the treatment of soft tissue defects at the knee. Br J Plast Surg 1990; 43 (05) 546-550
- 41 Chen CY, Hsieh CH, Kuo YR, Jeng SF. An anterolateral thigh perforator flap from the ipsilateral thigh for soft-tissue reconstruction around the knee. Plast Reconstr Surg 2007; 120 (02) 470-473
- 42 Nguyen AT, Wong C, Mojallal A, Saint-Cyr M. Lateral supragenicular pedicle perforator flap: clinical results and vascular anatomy. J Plast Reconstr Aesthet Surg 2011; 64 (03) 381-385
- 43 Zheng H-P, Lin J, Zhuang Y-H, Zhang F-H. Convenient coverage of soft-tissue defects around the knee by the pedicled vastus medialis perforator flap. J Plast Reconstr Aesthet Surg 2012; 65 (09) 1151-1157
- 44 Moscatiello F, Masià J, Carrera A, Clavero J´A. Larrañaga JR, Pons G. The ‘propeller’ distal anteromedial thigh perforator flap. Anatomic study and clinical applications. J Plast Reconstr Aesthet Surg 2007; 60 (12) 1323-1330