Bilateral Knee Soft-tissue Reconstruction after High-voltage Electrical Burn Injuries

Abstract

Summary: This is the case of a 21-year-old man who had extensive and bilateral knee soft-tissue damage after a high-voltage electrical discharge. In its reconstruction, we simultaneously performed the pedicled medial sural artery perforator flap. Even though mild complications took place, this alternative proved helpful and reliable, providing an easily adjustable skin island and allowing for the patient’s rapid rehabilitation and a satisfactory aesthetic outcome. Although this flap’s reconstructive potential is known in other etiologies, the present report outlines its substantial potential in the case of electrical burn injuries, as it has barely been recognized before.

Combined use of lower medial thigh perforator (LMTP) flap and pedicled medial sural artery perforator flap (MSAP) for lateral knee defects coverage after sarcoma resection: A case report and literature review of soft tissue defect around knee reconstruction

“…Flaps based on perforators aim to preserve the muscle function they pass through, and gain valuable pedicle length, maintaining the normal functional anatomy (Demirkan et al, 2000; Salmi et al, 1995). Pedicled perforator flaps have been widely described for knee reconstructions, including the reversed anterolateral thigh (ALT) flap, the medial sural artery perforator (MSAP) flap, the peroneal artery perforator flap, the popliteal artery (LPA) perforator flap, the posterior tibial artery perforator flap and the lower medial thigh (LMT) perforator flap (Benedict et al, 2022; Gravvanis et al, 2014b; Li et al, 2018; Martínez et al, 2023; Narayan et al, 2020; Scaglioni et al, 2019; Tada et al, 2022).…”