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Modified Medial Gastrocnemius Myocutaneous Flap Technique for Knee Joint Coverage after Total Knee Arthroplasty

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Author(s)
Dongseok KimJunhyung KimWoonhyeok JeongTaehee JoJaehoon Choi
Keimyung Author(s)
Kim Dong SeokKim, Jun HyungJeong, Woon HyeokJo, Tae HeeChoi, Jae Hoon
Department
Dept. of Pediatrics (소아청소년학)
Dept. of Plastic Surgery (성형외과학)
Journal Title
Journal of Wound Management and Research
Issued Date
2021
Volume
17
Issue
1
Keyword
KneeArthroplasty, replacement, kneeReconstructive surgical proceduresSurgical flaps.
Abstract
While there are many reasons the medial gastrocnemius flap is often the favored treatment for soft tissue defects around the knee area, this flap has some disadvantages. Reduced volume at the distal part of the flap and a short reach complicate provision of sufficient coverage for soft tissue defects superior to the patella and the lateral knee. In order to overcome these shortcomings, we modified the typical surgical technique by combining a medial gastrocnemius muscle flap and a medial sural artery perforator flap. This approach was applied to four patients who had developed deep infections and skin and soft tissue defects around the knee joint after total knee arthroplasty. The surgeries were successful. Dead space was well-filled and wounds healed without complications in all patients. This modified medial gastrocnemius myocutaneous flap provides a new option for treating challenging skin and soft tissue defects caused by deep infection after total knee arthroplasty.
Keimyung Author(s)(Kor)
김동석
김준형
정운혁
조태희
최재훈
Publisher
School of Medicine (의과대학)
Citation
Dongseok Kim et al. (2021). Modified Medial Gastrocnemius Myocutaneous Flap Technique for Knee Joint Coverage after Total Knee Arthroplasty. Journal of Wound Management and Research, 17(1), 67–71. doi: 10.22467/jwmr.2020.01396
Type
Article
ISSN
2586-0410
Source
https://www.jwmr.org/journal/view.php?number=356
DOI
10.22467/jwmr.2020.01396
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43355
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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