The Flexor Digitorum Longus Muscle Flap for the Reconstruction of Soft-Tissue Defects in the Distal Third of the Leg

2013 ◽  
Vol 71 (5) ◽  
pp. 595-599 ◽  
Author(s):  
Sebastien Durand ◽  
Laura Sita-Alb ◽  
Sopiep Ang ◽  
Alain-Charles Masquelet
Keyword(s):  
Soft Tissue ◽  
Muscle Flap ◽  
Soft Tissue Defects ◽  
Flexor Digitorum Longus ◽  
Longus Muscle ◽  
Flexor Digitorum ◽  
Tissue Defects

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.

Muscle Flap Transposition for Traumatic Soft Tissue Defects of the Lower Extremity

1979 ◽  
Vol &NA; (143) ◽  
pp. 200???210
Author(s):  
MALCOM W. LENTZ ◽  
FRANK R. NOYES ◽  
HENRY W. NEALE
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Muscle Flap ◽  
Soft Tissue Defects ◽  
Muscle Flap Transposition ◽  
Tissue Defects

The Application of Distally Pedicled Peroneus Brevis Muscle Flaps and Retrograde Neurocutaneous Accompanying Artery Flaps for Treatment of Bony and Soft-Tissue 3-Dimensional Defects of the Lower Leg and Foot

2013 ◽  
Vol 12 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Xiao-hua Hu ◽  
Wei-li Du ◽  
Zhong Chen ◽  
Ming Li ◽  
Cheng Wang ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Muscle Flap ◽  
Lower Leg ◽  
Soft Tissue Defects ◽  
Muscle Flaps ◽  
3 Dimensional ◽  
Peroneus Brevis ◽  
Average Size ◽  
Thorough Debridement ◽  
Tissue Defects

To investigate the clinical effect of distally pedicled peroneus brevis muscle flaps and retrograde neurocutaneous flaps on treatment of bone and soft-tissue 3-dimensional defects of the lower leg and foot, the authors retrospectively studied all the patients admitted in their center in 3 consecutive years with bone and soft-tissue defects from March 2008 to February 2011; 21 patients suffering from traumatic and osteomyelitis were treated with peroneus brevis muscle flaps, for obliterating the hole-shaped bony defects after osteomyelitis debridement, and neurocutaneous flaps, for repairing associated soft-tissue defects. After thorough debridement, the average size of soft-tissue defects was 2 cm × 2 cm to 13 cm × 9 cm and that of bony defects was 2 cm × 2 cm × 2 cm to 6 cm × 3 cm × 3 cm. Neurocutaneous flaps completely survived in 20 cases, and the wounds healed at stage I; 1 case developed necrosis in the distal part of the peroneus brevis muscle flap and sural nerve flap, and the wound healed with a saphenous nerve flap. The flaps maintained good texture and shape during a follow-up of 6 to 24 months. Recurrence of osteomyelitis was not observed in any of the patients. In conclusion, distally pedicled peroneus brevis muscle flaps and retrograde neurocutaneous flaps are simple, safe, reliable, and suitable for clinical treatment of hole-shaped bony defects and reconstruction of soft-tissue defects within a single stage, especially when the 2 defects are located in different 3-dimensional spaces.

Muscle Flap Salvage of Spine Wounds With Soft Tissue Defects or Infection

Spine ◽  
2003 ◽  
Vol 28 (11) ◽  
pp. 1203-1211 ◽  
Author(s):  
Gregory A. Dumanian ◽  
Stephen L. Ondra ◽  
John Liu ◽  
Michael F. Schafer ◽  
Jerome D. Chao
Keyword(s):  
Soft Tissue ◽  
Muscle Flap ◽  
Soft Tissue Defects ◽  
Tissue Defects

Reconstruction of Soft Tissue Defects Overlying the Achilles Tendon Using the Super Extended Abductor Hallucis Muscle Flap

2008 ◽  
Vol 65 (6) ◽  
pp. 1459-1462 ◽  
Author(s):  
Wolfgang Michlits ◽  
Sabine Gruber ◽  
Christian Windhofer ◽  
Peter Macheiner ◽  
Molly Walsh ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Muscle Flap ◽  
Soft Tissue Defects ◽  
Abductor Hallucis ◽  
Abductor Hallucis Muscle ◽  
Tissue Defects
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