One-stage Repair of the Anterior Abdominal Wall Using Bilateral Rectus Femoris Myocutaneous Flaps

Am, Freedman; Lb, Gayle; Ed, Vaughan; La, Hoffman

doi:10.1097/00000637-199010000-00010

Cited by 16 publications

(8 citation statements)

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“…9 noted that transposition of the rectus would not permanently affect active knee extension, particularly if the remaining quadriceps muscles were centralized. Koshima et al 16 denied any loss of leg function, whereas Bostwick et al 15 described a significant functional deficit in the nonparaplegic.…”

Section: Resultsmentioning

confidence: 99%

Donor-Site Morbidity of the Pedicled Rectus Femoris Muscle Flap

Daigeler

Dodic²,

Awiszus³

et al. 2005

Plastic and Reconstructive Surgery

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The rectus femoris muscle flap is well known for its reliable anatomy, the ease with which it can be harvested, and its great versatility. As a pedicled or free flap, it is used to cover soft-tissue defects and to recreate motor function. Although the muscle is very reliable, it is not well respected because of its assumed donor-site morbidity, such as weakened knee extension force and decreased range of motion of the knee. To date, these clinical assumptions have only rarely been quantified in terms of objective scores, concerning force deficit and functional or aesthetic outcome. From 1995 to 2002, the authors treated 24 patients with pedicled rectus femoris muscle flaps. Fourteen patients were followed up. Follow-up time ranged from 3 to 56 months postoperatively. The results were evaluated by a standard questionnaire in which pain in relation to walking distance, subjective feeling of weakness, sensibility disorders, everyday function, and aesthetic aspects were assessed. Range of motion in the hip and the knee was measured. For objective verification of a decrease of maximal voluntary contraction force of the remaining quadriceps muscle and for detecting differences in true muscular capacity and voluntary activation, 10 patients with unilateral rectus femoris flaps were tested using the twitch interpolation technique. The authors' patients assessed the remaining function and the aesthetic result of the thigh as at least satisfactory. Two patients complained about pain and weakness in the thigh. Eight patients reported hypesthesia in the lateral suprapatellar region. The maximal voluntary contraction and true muscular capacity values were reduced by 21.8 percent and 18 percent, respectively, when compared with the healthy leg. The range of motion in the knee and hip was not influenced by muscle harvesting. The twitch interpolation technique revealed a mild voluntary activation deficit, probably caused by inhibitory regulation in the spinal cord. In conclusion, donor-site morbidity of the rectus femoris muscle flap is evident but well compensated. There is no decrease in active range of motion in the knee and hip. Patient satisfaction with the functional and aesthetic outcome was high.

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Section: Resultsmentioning

confidence: 99%

Donor-Site Morbidity of the Pedicled Rectus Femoris Muscle Flap

Daigeler

Dodic²,

Awiszus³

et al. 2005

Plastic and Reconstructive Surgery

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“…Using the rectus femoris muscle led to a significant loss of muscle strength during bending the knee. Two case reports reported good results without complications59, 60. In the third case report, reconstruction was complicated by an enterocutaneous fistula57.…”

Section: Pedicled or Free Vascularized Flapsmentioning

confidence: 99%

“…It is pedicled on the lateral circumflex femoral artery and tunnelled subcutaneously. Four publications report the results of reconstruction of an abdominal wall defect using such a flap: one case series and three case reports including a total of 11 patients ( Table 7 )57–60. The method of long‐term follow‐up is not specified.…”

Section: Pedicled or Free Vascularized Flapsmentioning

confidence: 99%

Autologous tissue repair of large abdominal wall defects

Reilingh

Bodegom

Goor

et al. 2007

British Journal of Surgery

103

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Background and method: Techniques for autologous repair of abdominal wall defects that could not be closed primarily are reviewed. Medline and PubMed were searched for English or German publications using the following keywords: components separation technique (CST), Ramirez, da Silva, fascia lata, tensor fasciae latae, latissimus dorsi, rectus femoris, myocutaneous flap, ((auto)dermal) graft, dermoplasty, cutisplasty, hernia, abdominal wall defect, or combinations thereof. Publications were analysed for methodological quality, and data on surgical technique, mortality, morbidity and reherniation were abstracted.

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“…Again, multiple muscle flaps are traditionally available for coverage purposes including the RAM, 15 external oblique, 16 tensor fascia lata, 17 and rectus femoris. 18 However, maximal preservation of the dynamic function of the abdominal wall dictates that no intrinsic abdominal muscle should be sacrificed for this purpose unless no other alternative exists. For this reason, perforator flaps have again come to the forefront for larger defects including the DIEP flap, 19 anterolateral thigh flap, 17 superficial circumflex iliac artery perforator flap, 20 and the related groin flap, 21 as reasonably recapitulated by Hallock 22 for each abdominal zone.…”

Section: Indications For Propeller Flapsmentioning

confidence: 99%

Propeller Flaps for the Anterior Trunk

Ogawa

2020

Semin Plast Surg

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Various types of propeller flaps from multiple donor sites can be used to reconstruct anterior trunk skin defects. The actual selection depends on the condition and location of the recipient site, especially if it is to be the chest or abdomen that requires attention. Before surgery commences, it is always important to use an imaging analyses such as computed tomography angiography to examine and identify perforators that could perfuse a perforator-pedicled propeller flap (PPPF), as it is the most multifaceted imaging technique. Clusters of perforators that can be commonly used for the “workhorse” PPPFs for the thoracic and abdominal regions are the internal mammary artery perforator, the musculophrenic artery perforator, and the deep inferior epigastric perforator. These perforators are reliable and large enough to support long and large propeller flaps that will cover most defects in this region, while still allowing primary donor-site closure.

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One-stage Repair of the Anterior Abdominal Wall Using Bilateral Rectus Femoris Myocutaneous Flaps

Cited by 16 publications

References 0 publications

Donor-Site Morbidity of the Pedicled Rectus Femoris Muscle Flap

Donor-Site Morbidity of the Pedicled Rectus Femoris Muscle Flap

Autologous tissue repair of large abdominal wall defects

Propeller Flaps for the Anterior Trunk

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