Clinical application of the distal island muscle flap of the gastrocnemius muscle for repairing the defects around knee and within the upper 2/3 of lower leg / 中华整形外科杂志
Gong-Lin ZHANG; Tie-Jun GONG; Lai-Xu ZHAO; Yong-Heng WANG; Yong-Gang ZOU; Jun-Lin YANG.
Chinese Journal of Plastic Surgery
; (6): 328-331, 2010.
Artículo
en Zh
| WPRIM | ID: wpr-268683
<p><b>OBJECTIVE</b>To summarize clinical application of the distal island muscle flap of the gastrocnemius muscle for repairing the defects around knee and within the upper 2/3 of lower leg.</p><p><b>METHODS</b>18 patients with defects around knee and within the upper 2/3 of lower leg, were treated with the distal island muscle flap of the gastrocnemius muscle, including 12 cases with medial muscle head and 6 cases with lateral muscle head. The muscular flaps were covered with meshed split-thickness skin grafts. The wound at donor sites were closed directly.</p><p><b>RESULTS</b>All the skin grafts and muscle flaps survived with superior infection at the wound edge in two cases. The patients were followed up for 8 months to 4.8 years with satisfactory cosmetic and functional results.</p><p><b>CONCLUSIONS</b>The distal island muscle flap of the gastrocnemius muscle has a reliable blood supply, long pedicle and suitable thickness. It is an ideal method for repairing the defects around knee and within the upper 2/3 of lower leg.</p>
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