Distally Based Gastrocnemius Myocutaneous Flap Augmented with an Arterial Anastomosis??? A Combination of Myocutaneous Flap and Microsurgery

Hc, Chen; Yb, Tang; Ms, Noordhoff

doi:10.1097/00005373-198801000-00017

Cited by 11 publications

(4 citation statements)

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“…Die beiden Muskelbäuche stehen über anatomisch und funktionell ausreichende Perforatorverbindungen im Bereich der medianen Raphe in Kontakt. Dies ist die anatomische Basis für die distale Stielung [3,4,6,7]. Die Haut oberhalb der beiden Muskelbäuche wird über zahlreiche myokutane Perforatoren versorgt, was die Hebung eines myokutanen Lappens ermöglicht [9,11,22].…”

Section: Surgical Techniqueunclassified

Die Musculus-gastrocnemius-Lappenplastiken

Hierner¹

2008

Oper Orthop Traumatol

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Section: Surgical Techniqueunclassified

Die Musculus-gastrocnemius-Lappenplastiken

Hierner¹

2008

Oper Orthop Traumatol

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“…-Hung Chi Chen et al in 1988 [34] have described within the framework of 17 cases treated successfully, a distal pedicled gastrocnemius flap with arterial anastomosis, which can be used in the coverage of the distal half of the leg: one of the gastrocnemius muscles is detached, possibly with a skin paddle, then turned over the defect. If the latter is very distal, it can be necessary to mobilise a portion of the soleus communicating with the gastrocnemius.…”

Section: Vascular Anatomymentioning

confidence: 99%

“…An anastomosis is made termino-laterally between the sural artery and one leg axis. Actually, the distal vascularisation by the cutaneous and fascial planes, and the anastomoses between gastrocnemius and soleus is insufficient at the arterial level [34]. On the other hand, not any venous anastomosis is required.…”

Section: Vascular Anatomymentioning

confidence: 99%

Gastrocnemius medial flaps

Nen

Liot

et al. 2007

Interact Surg

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With reference to the data reported in the literature and to the anatomical vascular basis, the authors expose different techniques and maneuvers used for dissection of gastrocnemius flaps. The use of muscular and myocutaneous gastrocnemius flaps and some modifications of the standard surgical technique aiming to gain more versatility are described. So that, the range of these flaps can be planned to cover the greatest part of the lower extremity of the leg.

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“…2 They can also be harvested as distally based flaps based on branches of posterior tibial artery for lower third limb reconstruction. 3 , 4 Flaps based on the perforators of the gastrocnemius muscle like the medial sural artery perforator flaps very commonly and the lateral sural artery perforator flaps rarely are gaining popularity in the recent days because of their thinness, and their ability to be used as pedicled or free flaps. 5 , 6…”

Section: Introductionmentioning

confidence: 99%

The Reach of the Gastrocnemius Musculocutaneous Flap: How High Is High?

Panse

Bhadgale

Karanjkar

et al. 2018

wjps

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BACKGROUNDGastrocnemius muscle and musculocutaneous flaps are very versatile and one of the commonly used flaps for lower extremity reconstruction. There is significant literature available on the use of these flaps. However, we feel that the potential of the gastrocnemius musculocutaneous (GMC) flaps has not yet been fully explored in terms of increasing their reach, viability and arc of rotation. An attempt is made to refine the technique of flap harvestation to optimize outcomes of this versatile flap.METHODSSix patients of complex lower limb defects were managed using the GMC flaps. Harvesting of the flap was always initiated from the posterior midline to include the proximal sural pedicle, sural nerve, short saphenous vein and the muscle belly of either the medial or the lateral gastrocnemius muscle along with the cutaneous paddle. All the flaps were islanded and denervated. The origin of the gastrocnemius muscle was detached in all cases to increase the reach of this flap.RESULTSThe flap can reliably and comfortably cover defects from middle third-lower third junction of thigh and the entire posterior aspect of the thigh. Such a local option offers relatively simple but more cost-effective approach to complex clinical problem with tolerable impairment of the donor site. CONCLUSIONThe GMC flap can be considered as a worthwhile alternative to free-tissue transfer for limb salvage.

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Distally Based Gastrocnemius Myocutaneous Flap Augmented with an Arterial Anastomosis??? A Combination of Myocutaneous Flap and Microsurgery

Cited by 11 publications

References 0 publications

Die Musculus-gastrocnemius-Lappenplastiken

Die Musculus-gastrocnemius-Lappenplastiken

Gastrocnemius medial flaps

The Reach of the Gastrocnemius Musculocutaneous Flap: How High Is High?

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