Abstract
Management of anterior knee defects represents quite a challenging situation and still a matter of debate, above all in case of exposed knee prosthesis. To promote wound healing, the tissue transferred should provide adequate blood supply and appropriately fill the defect. In our experience, the gastrocnemius flap and the proximal-based saphenous neurocutaneous artery flap are the most suitable and favourable options because of the reliability and safety of vascular supply and the relative ease of harvest.
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Haertsch PA (1981) The blood supply to the skin of the leg: a post mortem investigation. Br J Plast Surg 34:470
McCraw JB, Dibbel DG, Carraway JF (1977) Clinical definition of independent myocutaneous flap. Plast Reconstr Surg 60:341
Masquelet AC, Gilbert A (1995) An atlas of flaps in limb reconstruction. Dunitz, London
Balboni GC (1991) Anatomia umana. Edi-Ermes, Milano
Netter FH (1996) Atlante di anatomia umana. Masson, Milano
Carriquiry C, Aparecida Costa M, Vasconez L (1985) An anatomic study of the septocutaneous vessel of the leg. Plast Reconstr Surg 76:354
Mathes S, Nahai F (1979) Clinical atlas of muscle and musculo-cutaneous flaps. Mosby, St Louis
Casanova D, Huard O, Zalta R et al. (2001) Management of wounds of exposed or infected knee prostheses. Scand J Plast Reconstr Surg Hand Surg 35(1):71–77
Mathes SJ, Alpert BS, Chang N (1982) Use of the muscle flap in chronic osteomyelitis: experimental and clinical correlations. Plast Reconstr Surg 69(5):815–829
Fitzgerald RH Jr, Ruttle PE, Arnold PG et al. (1985) Local muscle flaps in the treatment of chronic osteomyelitis. J Bone Jt Surg Am 67(2):175–185
Acland RD, Shusterman M, Godina M et al. (1981) The saphenous neurovascular free flap. Plast Reconstr Surg 67:763
Thatte RL, Thatte MR (1989) The saphenous venous flap. Br J Plast Surg 42:399
Fachinelli A, Masquelet AC, Restrepo J, Gilbert A (1981) The vascularized sural nerve. Anatomy and surgical approach. Int J Microsurg 3:57
McCraw JB, Fishman JH, Sharzer CA (1978) The versatile gastrocnemius myocutaneous flap. Plast Reconstr Surg 62:15
Gerwin M, Rothaus KO, Windsor RE et al. (1993) Gastrocnemius muscle flap coverage of exposed or infected knee prothesis. Clin Orthop Relat Res 286:64–70
Moebius B, Scheller EE (2012) The pediculated gastrocnemius muscle flap as a treatment for soft tissue problems of the knee—indication, placement and results. GMS Interdiscip Plast Reconstr Surg DGPW. doi:10.3205/iprs000007
Laing JH, Hancock K, Harrison DH (1992) The exposed total knee replacement prosthesis: a new classification and treatment algorithm. Br J Plast Surg 45(1):66–69
Nahabedian MY, Orlando JC, Delanois RE et al. (1998) Salvage procedures for complex soft tissue defects of the knee. Clin Orthop Relat Res 356:119–124
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Gli autori M. Ghiglione, E. Grosso, E.M. Zingarelli, M. Massa e R. Panizza dichiarano di non avere alcun conflitto di interesse.
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Ghiglione, M., Grosso, E., Zingarelli, E.M. et al. Copertura delle perdite di sostanza della faccia anteriore ginocchio in esiti chirurgia protesica. LO SCALPELLO 31, 179–184 (2017). https://doi.org/10.1007/s11639-017-0218-8
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DOI: https://doi.org/10.1007/s11639-017-0218-8