Soft tissue coverage options around the knee

Kerfant, N.; Ta, Pierre; Trimaille, A.; Henry, Anne Claire; Dubrana, F.; Nen, D. Le; Hu, Weiguo

doi:10.1016/j.anplas.2020.07.003

Cited by 7 publications

(4 citation statements)

References 35 publications

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Section: Discussionmentioning

confidence: 99%

“…The reconstruction of a bilateral defect in this scenario is a challenge even for most experienced surgeons, whose choice must deliver a pliable but stable soft tissue, allowing the joint's full range of motion, patient early mobilization, and rehabilitation after interventions. 5 The gastrocnemius flap is well-known as the workhorse flap for knee and upper leg soft-tissue reconstruction. 6 It is a muscular or myocutaneous pedicled flap useful in case of infection or when dead space obliteration is required.…”

Section: Discussionmentioning

confidence: 99%

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

Martínez

Córdoba

Parra

2023

Plastic and Reconstructive Surgery - Global Open

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Martínez

Córdoba

Parra

2023

Plastic and Reconstructive Surgery - Global Open

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“…Anterior knee injuries commonly occur in the clinical setting and often result from trauma or burns ( 1 , 2 ). Due to the sparse soft tissue in the Anterior knee region, skin necrosis is a frequent issue ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

The clinical application of V-Y advanced flap pedicled with freestyle perforator flap for repairing small range defects in the anterior knee region

Qian,

Jin,

Huang

et al. 2024

Front. Surg.

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IntroductionThis study aims to investigate the clinical efficacy of V-Y advanced flap pedicled with freestyle perforator flap for repairing small range defects in the anterior knee region.Methods8 patients with skin and soft tissue defect/necrosis in the anterior knee area admitted to the Changshu No.1 People's Hospital from January 2021 to January 2022 were selected, with a defect range of 4 cm × 3 cm–9 cm × 6 cm, designed a V-Y advanced flap pedicled with freestyle perforator flap to repair the wound in the anterior knee area. Adjust the size and position of the flap according to the number and position of perforating branches found during the surgery, with a cutting area of 6 cm × 5 cm–14 cm × 10 cm and the supply area was directly pulled and sutured.Results4 patients were repaired by flaps pedicled with 2 perforating branches, 2 patients were repaired by flaps pedicled with 1 perforating branch and 2 patients were repaired by flaps pedicled with 3 perforating branches. 4 patients were repaired by flaps pedicled with 2 perforating branches, 2 patients were repaired by flaps pedicled with 1 perforating branch and 2 patients were repaired by flaps pedicled with 3 perforating branches. All flaps survived and following up for 6-15 months, the blood supply, appearance, and color of the flap were satisfactory, and the functions of knee joint flexion and extension were well preserved.DiscussionThe V-Y advancement flap pedicled with freestyle perforator flap has the advantages of reliable blood supply, simple surgical operation, texture and thickness similar to the skin of the anterior knee area, and direct suture of the donor area. It is a perforator flap with good repair effect for small scale defects in the anterior knee area.

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“…Many surgical options can be chosen, including various locoregional flaps and even free flaps. 1 2 3 The distally based anterolateral thigh (dALT) flap utilizes the reverse blood flow from the descending branch of the lateral circumflex femoral artery (d-LCFA) and is commonly used to reconstruct knee defects. The vascular anastomosis between the d-LCFA and the superior lateral genicular artery and the reverse flow from the d-LCFA constitute the anatomical basis of the dALT flap.…”

mentioning

confidence: 99%

Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery

Wang

Zang

et al. 2022

Arch Plast Surg

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Reconstruction of soft tissue defects around the knee is challenging, and the most common solution is to use various locoregional flaps or, in some difficult cases, a free flap. The distally based anterolateral thigh (dALT) flap is a commonly used flap that relies on reverse blood flow from the descending branch of the lateral circumflex femoral artery (d-LCFA). Here, we present the case of an anteromedial knee reconstruction using a dALT flap after resection of a pleomorphic undifferentiated sarcoma. The tumor resection resulted in a 14 × 7 cm defect, and a dALT flap, measuring 20 × 8 cm was elevated. During the surgery, we found a robust oblique branch of the LCFA (o-LCFA) sending off two sizable perforators to the anterolateral thigh region, whereas the d-LCFA was relatively small with no usable perforators. Therefore, we harvested a dALT flap relying on reverse flow from the o-LCFA. The patient's postoperative course was uneventful, and the flap survived without complications. This report demonstrates that reverse flow from the o-LCFA may be an alternative to nourish a dALT flap in cases where the d-LCFA is hypoplastic or suitable perforators from the d-LCFA are unavailable.

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Soft tissue coverage options around the knee

Cited by 7 publications

References 35 publications

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

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

The clinical application of V-Y advanced flap pedicled with freestyle perforator flap for repairing small range defects in the anterior knee region

Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery

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