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2012 ; 1
(ä): Doc07
Nephropedia Template TP
gab.com Text
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English Wikipedia
The pediculated gastrocnemius muscle flap as a treatment for soft tissue problems
of the knee - indication, placement and results
#MMPMID26504691
Moebius B
; Scheller EE
GMS Interdiscip Plast Reconstr Surg DGPW
2012[]; 1
(ä): Doc07
PMID26504691
show ga
With the increase of endoprosthetic knee replacements, there is also an increase
of critical wounds to the knee due to a high incidence of soft tissue problems
(ranging from wound healing defects to severe wound infections). The literature
describes a general rate of soft tissue complications of up to 20% [1], [2], with
5% [3] involving exposed bone. These complications are an increasingly important
problem for surgeons. Since sufficient coverage of bones, tendons and prosthetic
material with soft tissue is a necessity, the use of a pediculated muscle flap is
the only solution in some cases. The gastrocnemius muscle is very useful for this
purpose. It is an elaborate procedure which is associated with a high rate of
complications. However, this procedure can establish a secure coverage with soft
tissue, and the function of the prosthesis and the patient's extremity can be
saved. We have treated 23 patients with a gastrocnemius rotation flap after knee
prosthesis or knee arthrodesis infection with consecutive soft tissue damage at
our hospital from 8/2004 through 3/2011. The overall rate of healing of the knee
infections with stable soft tissue status is almost 87%. The revision rate with
lifting of the flap and revision of the sutures at the point of insertion as well
as the point of extraction was about 35% with long-term conservative or
additional surgical treatments.