Soft-tissue coverage of an extensive mid-tibial wound with the combined medial gastrocnemius and medial hemisoleus muscle flaps: the role of local muscle flaps revisited

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Lee L Q Pu

Abstract

The proper soft-tissue management for an extensive mid-tibial wound of the leg with a less aggressive surgical approach has rarely been discussed in the literature and the reliability and the usefulness of such an approach to this challenging clinical problem remains uncertain. In this series, four patients with an extensive mid-tibial wound (12x3 to 22x6 cm) of the leg underwent the combined medial gastrocnemius and medial hemisoleus muscle flaps for soft-tissue reconstruction. Both muscle flaps were elevated with emphasis on the preservation of the critical perforators from the posterior tibial vessels to the medial hemisoleus muscle flap as possible and on the possible preservation of foot planter flexion by reconstruction of the proximal Achilles tendon to minimise functional loss. All patients except one had primary healing of their tibial wounds. One patient developed insignificant distal flap necrosis of the medial soleus flap and was treated with debridement and flap re-advancement. Three patients with tibial fracture also had evidenced healing of their tibial fractures. Limb salvage was achieved in all four patients during follow-up. Thus, the combined medial gastrocnemius and medial hemisoleus muscle flaps can be a va...Continue Reading

References

Sep 1, 1985·Plastic and Reconstructive Surgery·W M Swartz, D C Mears
Jul 1, 1985·Plastic and Reconstructive Surgery·G R Tobin
Apr 1, 1996·Journal of Reconstructive Microsurgery·S W MillerJ A Faulkner
Sep 8, 2001·Plastic and Reconstructive Surgery·L Heller, L S Levin
May 26, 2004·Annals of Plastic Surgery·Christopher A Marek, Lee L Q Pu
Apr 11, 2008·Plastic and Reconstructive Surgery·Vikram Reddy, Thomas Ray Stevenson
Jan 1, 2009·Plastic and Reconstructive Surgery·Adrien DaigelerHans-Ulrich Steinau

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Citations

Mar 23, 2013·Operative Orthopädie und Traumatologie·J Hankiss, C Schmitz
Nov 20, 2014·The Open Orthopaedics Journal·Daniel J JordanAli Juma
Aug 19, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Surasak JitprapaikulsarnWitoon Thremthakanpon
Apr 18, 2020·Journal of Reconstructive Microsurgery·Andrew AtiaScott T Hollenbeck
Mar 27, 2021·Injury·M BumbaširevićA Lesić
Aug 5, 2021·Burns and Trauma·Matthew R Zeiderman, Lee L Q Pu
Aug 4, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Vache HambardzumyanJanet D Conway

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