Gastrocnemius medial flaps

Abstract

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.

Soft Tissue Coverage for Defects around the Knee Joint

“…The reach of the flap can be increased by dividing the tendinous fibers at the origin on the superficial surface or scoring the aponeurotic layer in the under surface of the muscle or totally islanding the flap based on its vascular pedicle. 8 9…”

The gastrocnemius muscle flap for coverage of soft tissue defect of the proximal third of lower leg

“…The use of the gastrocnemius muscle flap is one method of choice for reconstruction [1]. There is only one vasculonervous pedicle for each of both muscle heads composed of a sural artery and one or two veins,…”