Augmentation of the lower leg: a new combined calf-tibial implant

Plastic and Reconstructive Surgery
Robert A Gutstein

Abstract

The underdeveloped lower leg can be a source of embarrassment. Underdevelopment or atrophy may be associated with asymmetry, congenital deformity (tibial torsion, pes planus, genu valgus), traumatic nerve damage, or disease (polio). In some people, muscular development simply fails to respond to exercise. Augmentation of the calves with subfascial silicone implants has been practiced for 25 years and is a reliable procedure. The implant is placed through a transverse popliteal incision in a plane dissected between the gastrocnemius fascia and muscle. One or both heads of the gastrocnemius are augmented-a larger size is usually used medially. When the lower portion of the leg is also thin, and especially when there is tibial torsion, augmentation of the calf alone may exaggerate the deformity. A new one-piece combined medial calf-medial leg implant has been developed and used in 15 patients (n = 30 implants). Augmentation/correction has met with complete patient approval (except for one patient who wished to have a larger size). A new and effective implant to correct various deformities or lack of development of the lower leg is presented.

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Citations

Apr 18, 2007·Aesthetic Plastic Surgery·Pinar Karakaş, M Gülhal Bozkir
Jan 6, 2009·Aesthetic Plastic Surgery·Gerardo Flores-Lima, Barry L Eppley
Aug 20, 2011·Aesthetic Plastic Surgery·Luiz Haroldo PereiraAris Sterodimas
Nov 16, 2013·Aesthetic Plastic Surgery
Oct 1, 2011·Aesthetic Plastic Surgery·Jose Abel de la Peña-SalcedoJose Fernando Lopez-Salguero
Aug 12, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Polly BijurE John Gallagher
Jan 11, 2011·Regulatory Toxicology and Pharmacology : RTP·Donna A VolpeS Leigh Verbois
Jul 19, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Memet YazarErol Kozanoğlu
Feb 25, 2017·Plastic and Reconstructive Surgery·Katarina AndjelkovVesna M Popovic
Oct 25, 2008·Annals of Plastic Surgery·Ali MojallalFabienne Braye
Jun 4, 2008·Plastic and Reconstructive Surgery·O Onur ErolGalip Agaoglu
Mar 15, 2019·Aesthetic Plastic Surgery·Dario Melita, Alessandro Innocenti
Feb 1, 2014·Aesthetic Plastic Surgery·Yoon Jae Chung, Hyun Jang

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