Knee Region Coverage with Reversed Gracilis Pedicle Flap (GReSP Flap).
JBJS Essent Surg Tech
; 1(1): e5, 2011 Jun 15.
Article
em En
| MEDLINE
| ID: mdl-33738130
ABSTRACT
INTRODUCTION:
To treat severe soft-tissue complications of total knee arthroplasty, we used an extended reversed gracilis flap based on secondary pedicles (the GReSP flap). STEP 1 PREPARE WOUND BED Locate the gracilis and pedicles, then debride the wound bed. STEP 2 EXPOSE GRACILIS MUSCLE Expose the superficial aspect of the muscle, while protecting the saphenous vein and nerve. STEP 3 CHECK MUSCLE PERFUSION Temporarily clamp the main vascular pedicle to ensure blood supply when perfused only by the secondary pedicles. STEP 4 MOBILIZE MUSCLE FLAP Transect the proximal tendon of the gracilis muscle to provide maximal length for the muscle flap and ligate the main vascular and nerve pedicles. STEP 5 COVER WITH SKIN GRAFT Suture the flap in place and cover with skin graft. STEP 6 POSTOPERATIVE CARE Immobilize the knee for two weeks; follow with rehabilitation to restore range of motion. RESULTS & PREOP/POSTOP IMAGES We treated three patients who had an infection at the site of a total knee arthroplasty and exposure of the implant. WHAT TO WATCH FOR IndicationsContraindicationsPitfalls & Challenges.
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Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article