Abstract
Wounds in the middle third of the tibia can occur after trauma. Coverage of exposed bone and hardware is paramount for extremity salvage. Skin and subcutaneous fat overlying the anterior tibial surface is very thin, and wounds presenting in this area can be challenging for primary closure due to paucity of soft tissue. Soleus and tibialis anterior pedicled muscle flaps provide the bulk of local reconstructive options for durable autologous soft tissue coverage in this area [1–4] (Fig. 21.1).
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References
Panse N, Sahasrabudhe P, Pande G, Chandanwale A, Dhongde R, Rajpal L. The split tibialis anterior muscle flap - a simple solution for longitudinal middle third tibial defects. Indian J Plast Surg. 2012;45:53–7. https://doi.org/10.4103/0970-0358.96585.
Li X, Yang ZP, Li JM. Soft tissue reconstruction with sagittal split anterior tibial muscle transfer and medial gastrocnemius transposition in limb-salvage surgery of bone tumors in a proximal tibia. Ann Plast Surg. 2008;61:204–8. https://doi.org/10.1097/SAP.0b013e318157dae7.
Hallock GG. Sagittal split tibialis anterior muscle flap. Ann Plast Surg. 2002;49:39–43.
Gravvanis A, Kyriakopoulos A, Kateros K, Tsoutsos D. Flap reconstruction of the knee: a review of current concepts and a proposed algorithm. World J Orthop. 2014;5:603–13. https://doi.org/10.5312/wjo.v5.i5.603.
Hyodo I, Nakayama B, Takahashi M, Toriyama K, Kamei Y, Torii S. The gastrocnemius with soleus bi-muscle flap. Br J Plast Surg. 2004;57:77–82.
Mathes SJ, Nahai F. Vascular anatomy of muscle: classification and application. In: Mathes SJ, Nahai F, editors. Clinical applications for muscle and musculocutaneous flaps. St. Louis: CV Mosby; 1982. p. 16–94.
Drake R, Vogl AW, Mitchell A. Gray’s anatomy for students. 4th ed. Philadelphia: Elsevier; 2019.
Strauch B, Vasconez LO, Hall-Findlay EJ, Lee BT. Grabb’s encyclopedia of flaps. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2009.
Pu LL. Successful soft-tissue coverage of a tibial wound in the distal third of the leg with a medial hemisoleus muscle flap. Plast Reconstr Surg. 2005;115:245–51.
Prathapamchandra V, Prabhu LV, Pai MM, Murlimanju BV, Vadgaonkar R. Arterial supply to the soleus muscle: an anatomical study with emphasis on its application in the pedicle flap surgery. Surg Radiol Anat. 2015;37:1055–61. https://doi.org/10.1007/s00276-015-1485-9.
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Googe, B., Songcharoen, S.J., Arnold, P.B. (2020). Soft Tissue Reconstruction of the Middle Third of the Tibia. In: Hollenbeck, S., Arnold, P., Orgill, D. (eds) Handbook of Lower Extremity Reconstruction . Springer, Cham. https://doi.org/10.1007/978-3-030-41035-3_21
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DOI: https://doi.org/10.1007/978-3-030-41035-3_21
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