One-Stage Reconstruction of Both the Biceps Brachii and Triceps Brachii Tendons Using a Free Anterolateral Thigh Flap with a Fascial Flap

2004 ◽  
Vol 20 (2) ◽  
pp. 139-142 ◽  
Microsurgery ◽  
2006 ◽  
Vol 26 (3) ◽  
pp. 155-159 ◽  
Author(s):  
Gaye Taylan Çalikapan ◽  
Serkan Yildirim ◽  
Tayfun Aköz

2020 ◽  
Vol 28 (2) ◽  
pp. 230949902093599
Author(s):  
Wen-Chih Liu ◽  
Chih-Hau Chang ◽  
Cheng-Chang Lu ◽  
Yin-Chih Fu ◽  
Chun-Kuan Lu

Reconstruction of an infected knee joint with a large defect and extensor mechanism deficiency is challenging. In this study, we aim to describe a one-stage reconstruction surgery and provide its surgical outcome. Two patients had patellar open fracture and subsequent septic arthritis; in addition, a large soft tissue defect, loss of patella, and shortening of the patellar tendon were observed. The semitendinosus–gracilis tendon formed a loop to stabilize the patella. A free or supercharged reverse pedicle myocutaneous anterolateral thigh flap with fascial extension is designed to fill the defect and eradicate the infection. Mean clinical follow-up was 18 months. Although some limitation in the knee range of motion was observed, the dynamometer showed only partial loss in peak concentric power and eccentric power. We developed an innovative surgical procedure to alleviate infection and reconstruct a complex knee defect with extensor mechanism deficiency; this procedure resulted in favorable clinical outcomes.


2012 ◽  
Vol 45 (2) ◽  
pp. 63-68 ◽  
Author(s):  
Kae-Bang Tzeng ◽  
Wen-Hsiang Chien ◽  
Yung-Chiou Lin ◽  
Jung-Hsing Yen ◽  
I-Chen Chen ◽  
...  

2018 ◽  
Vol 10 (02) ◽  
pp. 105-108
Author(s):  
Ryosuke Sato ◽  
Naohito Hibino ◽  
Masahiro Yamano ◽  
Shinji Yoshioka ◽  
Tomoya Terai ◽  
...  

AbstractReconstruction is challenging in a patient with loss of a segment of Achilles tendon and infection in the overlying soft tissue. Here the authors describe one-stage tendon reconstruction, using an anterolateral thigh free flap incorporating a vascularized muscle flap and a strip of iliotibial tract in a patient with re-rupture of an Achilles tendon and soft tissue infection. Postoperative immobilization of the affected ankle using an external fixator enabled us to observe the flap directly and reduce pressure on the flap. The patient had a successful outcome, with no difficulty in walking, running, or climbing stairs and no limitation of range of motion at the ankle joint postoperatively. This is a promising technique for reconstruction of the Achilles tendon and treatment of infection as a one-step procedure.


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