A comparison study between endoscope‐assisted and the standard approach in the harvesting of the free rectus femoris muscle flap

Lee, Jiunn-Tat; Hsu, Honda; Lin, Chih‐Ming; Huang, Chieh-Chi; Chien, Shu

doi:10.1002/micr.30284

Cited by 4 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a functional free flap, the myocutaneous rectus femoris flap has also been employed to regain knee extension while simultaneously covering soft tissue defects [11,17]. In addition to the advantage of simultaneous defect coverage, the rectus femoris flap can also be harvested minimally invasively by endoscopy [18].…”

Section: Introductionmentioning

confidence: 99%

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

Hecker,

Watzinger,

Pignet

et al. 2024

JPM

View full text Add to dashboard Cite

There is no unified approach for restoring the suprapatellar quadriceps tendon and covering tissue defects simultaneously. In this case report, we present the pedicled myocutaneous rectus femoris flap as one effective approach in two cases with extensive loss or impairment of the suprapatellar muscle–tendon structures after trauma-related suprapatellar quadriceps tendon rupture and multiple reconstruction attempts. Additionally, we provide a literature review of the reconstructive use of the functional pedicled myocutaneous rectus femoris flap. Methods: Two male patients, 48 and 74 years old, with extensive loss or impairment of the suprapatellar muscle–tendon structures due to multiple reconstruction attempts, underwent restoration of the knee extension with a pedicled myocutaneous rectus femoris flap. Results: Three months after reconstruction, both patients were able to walk freely, unaided. After a six-month follow-up, the free passive mobility of the knee joint was restored, and the active extension of the knee joint was possible in both patients. Conclusion: The authors conclude that the pedicled rectus femoris flap is a reliable method for the restoration of knee extension, with excellent functional results in cases of suprapatellar tendon lesions. Further to the functional restoration, this technique has the additional advantage of simultaneously achieving coverage of soft-tissue defects, while a direct closure of the donor site is possible. Elderly patients and patients with relevant comorbidities or multiple revisions may especially benefit from this technique.

show abstract

Section: Introductionmentioning

confidence: 99%