The pedicled gastrocnemius muscle flap: a review of 218 cases

Plastic and Reconstructive Surgery
Adrien DaigelerHans-Ulrich Steinau

Abstract

Data regarding donor-site morbidity, postoperative clinical course, and functional and aesthetic outcome after gastrocnemius muscle flaps are rare. Data regarding 218 consecutive patients treated with gastrocnemius muscle flaps were acquired from patients' charts and from contact with patients, with special reference to treatment and clinical course. Eighty-two were interviewed with a standardized questionnaire, 40 were examined physically, and 34 underwent dynamometric muscle function tests. The authors observed wound-healing difficulties in 7 percent, wound infections in 4 percent, and one flap loss; 4.5 percent of the lateral gastrocnemius patients suffered from postoperative palsy of the peroneal nerve. Eighty-seven percent were not significantly limited walking on even ground, but only 42 percent could run, and 40 percent complained about pain when walking more than 200 m. The average range-of-motion deficit in the ankle joint for flexion and extension was 11 percent and 10 percent, respectively. The maximal plantar flexion force in the ankle joint of the operated leg was 76.2 percent. Strength endurance was reduced approximately 24.4 percent in the operated leg compared with the nonaffected side. Gastrocnemius muscle tran...Continue Reading

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Citations

Feb 3, 2011·Seminars in Plastic Surgery·Hans-Ulrich SteinauMarkus Lehnhardt
Jun 3, 2010·Plastic and Reconstructive Surgery·Mark V SchaverienAwf A Quaba
Jan 5, 2011·Plastic and Reconstructive Surgery·Geoffrey G Hallock, Steven F Morris
Mar 18, 2010·The Journal of Trauma·Palapattu R J V C BoopalanThilak S Jepegnanam
Mar 29, 2011·Annales de chirurgie plastique et esthétique·G LasserreY Tropet
Jan 17, 2015·Frontiers in Surgery·Adrien DaigelerJonas Kolbenschlag
Nov 9, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jason K F WongCheng-Hung Lin
Dec 28, 2016·Plastic and Reconstructive Surgery·Roberto D Lachica
Mar 30, 2018·Plastic and Reconstructive Surgery·David L ColenStephen J Kovach
Mar 10, 2016·Annals of Plastic Surgery·Gregory A LamarisMark F Hendrickson
Nov 19, 2015·Frontiers in Oncology·Kamran HaratiAdrien Daigeler
May 23, 2020·Plastic and Reconstructive Surgery. Global Open·Faris M AlMugarenJoon Pio Hong
Nov 26, 2015·Plastic and Reconstructive Surgery·Hooman SoltanianScott T Hollenbeck
Mar 30, 2017·Case Reports in Orthopedics·Akinori KimuraKatsushi Takeshita
Aug 19, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Surasak JitprapaikulsarnWitoon Thremthakanpon
Oct 3, 2018·Strategies in Trauma and Limb Reconstruction·Mikhail BekarevEvan S Garfein
Nov 17, 2020·Medical & Biological Engineering & Computing·Francesco FerracutiFederica Verdini
Dec 27, 2019·Journal of Reconstructive Microsurgery·Saïd C AzouryGeoffrey G Hallock
Jul 29, 2020·Annales de chirurgie plastique et esthétique·N KerfantW Hu
May 23, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Surasak JitprapaikulsarnWitoon Thremthakanpon

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