Closure of the large bilateral soft tissue defects on the anterior knee surfaces with the use of an island muscle flap from the gastrocnemius. A case report

1988 ◽  
Vol 82 (3) ◽  
pp. 565
Author(s):  
J Podlewski
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Muscle Flap ◽  
Soft Tissue Defects ◽  
Anterior Knee ◽  
Tissue Defects

The Bilobed Racquet Flap or Extended Seagull Flap for Thumb Reconstruction: A Case Report

2018 ◽  
Vol 23 (01) ◽  
pp. 128-131
Author(s):  
José Couceiro ◽  
Mariangeles De la Red-Gallego ◽  
Luis Yeste ◽  
Higinio Ayala ◽  
Manuel Sanchez-Crespo ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Thumb Reconstruction ◽  
Degloving Injury ◽  
Dorsal Metacarpal Artery ◽  
The Subject ◽  
Tissue Defects

The treatment of extensive soft tissue defects in the thumb with dorsal metacarpal artery flaps has been previously reported in the literature. Island flaps from the dorsum of the index and long fingers have been the subject of many reports and studies. However, when the defect involves the whole thumb, a 360° circumferential defect, standard first or second dorsal metacarpal artery flaps are usually insufficient. There are fewer reports on the use of bilobed flaps for this application and we have found no reports on the use of bilobed racquet flaps or extended seagull flaps as treatment for this condition. We report the salvage of a thumb degloving injury with use of a bilobed racquet flap.

scholarly journals Brachioradialis Flap With Vascularized Lateral Ulnar Collateral Ligament Reconstruction: A Case Report

Hand ◽  
2019 ◽  
Vol 15 (2) ◽  
pp. NP37-NP41
Author(s):  
Nicholas A. Trasolini ◽  
Jerry Chidester ◽  
Alidad Ghiassi ◽  
Milan Stevanovic
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Ulnar Collateral Ligament ◽  
Soft Tissue Defect ◽  
Soft Tissue Defects ◽  
Collateral Ligament ◽  
Lateral Ulnar Collateral Ligament ◽  
Lateral Elbow ◽  
Rotational Flap ◽  
Tissue Defects

Background: Soft tissue defects about the elbow with concurrent ligamentous instability can be challenging to treat. Methods: We present a case report of a lateral elbow wound that resulted in lateral ulnar collateral ligament deficiency and posterolateral elbow instability. Results: We describe our technique of a modified brachioradialis rotational flap, in which the muscle is rotated to cover the soft tissue defect, while the vascularized brachioradialis tendon is used to simultaneously reconstruct the lateral ulnar collateral ligament. This procedure successfully restored posterolateral elbow stability at the time of wound coverage. Conclusion: Elbow soft tissue defects with associated ligamentous injuries can be treated using a modification of the brachioradialis rotational flap.

Pronator Quadratus Free Muscle Flap for Treatment of Palmar Defects

1993 ◽  
Vol 18 (5) ◽  
pp. 576-578 ◽  
Author(s):  
G. DAUTEL ◽  
M. MERLE
Keyword(s):  
Soft Tissue ◽  
Muscle Flap ◽  
Soft Tissue Defects ◽  
Muscle Flaps ◽  
Recipient Site ◽  
Pronator Quadratus ◽  
Free Muscle Flap ◽  
Small Defect ◽  
Pronator Quadratus Muscle ◽  
Tissue Defects

Cutaneous flaps are not entirely satisfactory when used for soft tissue defects of the palm, because the skin cover is too mobile. Use of muscle flaps can therefore be advocated for this recipient site. A case is reported where the pronator quadratus muscle has been used as a free muscle flap for coverage of a small defect of the palm.

scholarly journals Immediate application of negative pressure wound therapy following lower extremity flap reconstruction in sixteen patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Chun-Yu Chen ◽  
Shyh-Ming Kuo ◽  
Yih-Wen Tarng ◽  
Kai-Cheng Lin
Keyword(s):  
Soft Tissue ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Muscle Flap ◽  
Lower Leg ◽  
Tissue Loss ◽  
Soft Tissue Defects ◽  
Wound Therapy ◽  
Flap Coverage ◽  
Tissue Defects

AbstractNegative pressure wound therapy (NPWT) is usually applied in wound management and soft-tissue salvage after the development of complications. However, immediate postoperative application of NPWT over the flap coverage is seldom reported. We evaluate the effectiveness of immediate postoperative application of NPWT following fasciocutaneous or muscle flap coverage for lower leg reconstruction. A retrospective review of patients who underwent either fasciocutaneous or muscle flap coverage of lower leg soft-tissue defects applied with NPWT immediately after surgery was conducted in a level I trauma center. Sixteen patients, with an average age of 51.2 years, were included in the study. Nine patients had trauma-related soft-tissue loss, six had subsequent soft-tissue defects after debridement, and one had burn injury. Two patients had been treated with free anterolateral thigh flaps, 11 with pedicle flaps, and three with muscle flaps. All flaps survived except for those in two patients with venous congestion on postoperative day 1, which needed further debridement and skin grafting. Therefore, the use of immediate incisional NPWT is an alternative for wound care following flap coverage. The U-shaped design allows easy flap observation and temperature check. Furthermore, this method eliminates any concerns of vascular pedicle compression under negative pressure.

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