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Knee Region Coverage with Reversed Gracilis Pedicle Flap (GReSP Flap).
Tiengo, C; Macchi, V; Porzionato, A; Stecco, C; Vigato, E; Azzena, B; Parenti, A; De Caro, R.
Afiliação
  • Tiengo C; Section of Plastic Surgery, Department of Medical and Surgical Sciences, School of Medicine, University of Padova, Via A. Gabelli 65, 35127 Padova, Italy.
  • Macchi V; Section of Anatomy, Department of Human Anatomy and Physiology, School of Medicine, University of Padova, Via A. Gabelli 65, 35127 Padova, Italy. E-mail address for R. De Caro: rdecaro@unipd.it.
  • Porzionato A; Section of Anatomy, Department of Human Anatomy and Physiology, School of Medicine, University of Padova, Via A. Gabelli 65, 35127 Padova, Italy. E-mail address for R. De Caro: rdecaro@unipd.it.
  • Stecco C; Section of Anatomy, Department of Human Anatomy and Physiology, School of Medicine, University of Padova, Via A. Gabelli 65, 35127 Padova, Italy. E-mail address for R. De Caro: rdecaro@unipd.it.
  • Vigato E; Section of Plastic Surgery, Department of Medical and Surgical Sciences, School of Medicine, University of Padova, Via A. Gabelli 65, 35127 Padova, Italy.
  • Azzena B; Section of Plastic Surgery, Department of Medical and Surgical Sciences, School of Medicine, University of Padova, Via A. Gabelli 65, 35127 Padova, Italy.
  • Parenti A; Section of Pathologic Anatomy, Department of Medical Diagnostic Sciences and Specialist Therapies, School of Medicine, University of Padova, Via A. Gabelli 65, 35127 Padova, Italy.
  • De Caro R; Section of Anatomy, Department of Human Anatomy and Physiology, School of Medicine, University of Padova, Via A. Gabelli 65, 35127 Padova, Italy. E-mail address for R. De Caro: rdecaro@unipd.it.
JBJS Essent Surg Tech ; 1(1): e5, 2011 Jun 15.
Article em En | MEDLINE | ID: mdl-33738130
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.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: JBJS Essent Surg Tech Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Itália País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: JBJS Essent Surg Tech Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Itália País de publicação: Estados Unidos