scholarly journals Distally Based Medial Hemisoleus Muscle Flap for Reconstruction of Distal and Middle Third Leg Defects

2021 ◽  
Vol 45 (4) ◽  
pp. 211-218
Author(s):  
Helmy Elwakeel
Keyword(s):  
Muscle Flap ◽  
Distally Based

The distally based split soleus muscle flap

1987 ◽  
Vol 40 (1) ◽  
pp. 20-26 ◽  
Author(s):  
M.S. Fayman ◽  
F. Orak ◽  
B. Hugo ◽  
S.D. Berson
Keyword(s):  
Soleus Muscle ◽  
Muscle Flap ◽  
Distally Based

scholarly journals COLGAJO DE HEMISÓLEO A PEDÍCULO DISTAL: CORRELACIÓN ENTRE ESTUDIOS VASCULARES CADAVÉRICOS E “IN VIVO” DISTALLY BASED HEMISOLEOUS FLAP: CORRELATION BETWEEN CADAVERIC AND “IN VIVO” VASCULAR STUDIES

2016 ◽  
Vol 2 (1) ◽  
pp. 31-37
Author(s):  
Daniel A. Wolff ◽  
Gustavo J. Armand Ugón ◽  
Jesús R. Manzani
Keyword(s):  
Surgical Approach ◽  
Vascular Anatomy ◽  
Muscle Flap ◽  
Posterior Tibial Artery ◽  
Vascular Studies ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Distally Based ◽  
Distal Vessel

Introducción: El éxito de éste colgajo depende de la anatomía vascular de su pedículo y de la existencia de anastomosis con pedículos proximales. Los estudios vasculares anatómicos en cadáveres fundan las bases para la realización de colgajos musculares. El cirujano debe conocer cuales de los resultados de un estudio cadavérico son aplicables al paciente. Objetivos: Estudiar en cadáveres el número de pedículos distales, su topografía y la existencia de anastomosis con vasos proximales. Luego comparar estos datos con los hallados en pacientes. Material y Métodos: En 9 piernas cadavéricas se estudió la anatomía de los pedículos distales. En 5 pacientes se realizó colgajo de hemisóleo a pedículo distal y se verificó la correspondencia de los datos cadavéricos con los hallados en el vivo. Resultados: En el grupo cadavérico los pedículos distales para el músculo sóleo se originaron tanto de la arteria tibial posterior como de la peronea. El vaso mas distal se encontró en promedio a 6,32 cm de la línea intermaleolar y su origen mas frecuente fue la arteria tibial posterior. La presencia de anastomosis no fue demostrable en las disecciones cadavéricas pero si en el vivo.       Conclusiones: Los resultados cadavéricos fueron comparables con los hallazgos del modelo vivo, salvo en la identificación de anastomosis, sólo evidenciables en éstos últimos. Esta información es útil para el abordaje y localización del pedículo distal que nutre el colgajo, pero no para definir el territorio anatómico del vaso. Por lo tanto, debe conocerse que datos originados de estudios cadavéricos pueden aplicarse al vivo. Introduction: The success of this flap depends on the vascular anatomy of its pedicle and on the existence of anastomosis with proximal pedicles. The anatomic cadaveric vascular studies set the foundation for muscle flap designs. Surgeons should know which results of cadaveric studies are applicable to the patient. Our objective was to study, in cadavers, the number and situation of distal pedicles to the soleous muscle and the existence of anastomosis between them and proximal dominant vessels for this muscle, and to compare this data with those found in patients. Material and Methods: The anatomy of distal pedicles was studied in nine cadaveric legs. Distally based hemisoleus flap was performed in five patients. The correspondence between cadaveric and patients data was verified. Results: Cadaveric group distal pedicles for soleus muscle were originated from the posterior tibial artery and also from the fibular artery. The most distal vessel was found at an average of 6.32 cm from the intermaleolar line. Its most frequent origin was the posterior tibial artery. The presence of anastomosis was demonstrated in patients but not in cadaveric dissections. Conclusions: Cadaveric results were comparable with those found in patients, except for the identification of the anastomosis. This information is useful for the localization and surgical approach of the distal pedicle that nourish the flap, but not to define the anatomical territory of the vessel. Therefore, it should be known which cadaveric data can be applied to the patients.   

A Distally Based Sartorius Muscle Flap for a Gustilo Grade-III Open Fracture of the Lateral Femoral Condyle and the Head of the Fibula with a Complex Soft-Tissue Defect

2017 ◽  
Vol 7 (4) ◽  
pp. e93-e93 ◽  
Author(s):  
Victoire Bouveau ◽  
Damien Potage ◽  
Arnaud Dubory ◽  
Romain Chevallier ◽  
Jean-Paul Meningaud ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Open Fracture ◽  
Femoral Condyle ◽  
Muscle Flap ◽  
Soft Tissue Defect ◽  
Lateral Femoral Condyle ◽  
Sartorius Muscle ◽  
Tissue Defect ◽  
Distally Based ◽  
Grade Iii

scholarly journals Distally based peroneus brevis muscle flap: A single centre experience

2019 ◽  
Vol 22 (2) ◽  
pp. 108-112 ◽  
Author(s):  
Subhash Sahu ◽  
Amish Jayantilal Gohil ◽  
Shweta Patil ◽  
Shashank Lamba ◽  
Kingsly Paul ◽  
...  
Keyword(s):  
Muscle Flap ◽  
Single Centre ◽  
Single Centre Experience ◽  
Peroneus Brevis ◽  
Distally Based

One-Step Approach for Infections After Achilles Tendon Open Repair: The Distally Based Peroneus Brevis Muscle Flap

2020 ◽  
pp. 153473462095154
Author(s):  
Luca Vaienti ◽  
Giuseppe Cottone ◽  
Giovanna Zaccaria ◽  
Emanuele Rampino Cordaro ◽  
Francesco Amendola
Keyword(s):  
Achilles Tendon ◽  
Median Time ◽  
Tendon Rupture ◽  
Open Repair ◽  
Weight Bearing ◽  
Achilles Tendon Rupture ◽  
Muscle Flap ◽  
Full Weight Bearing ◽  
Peroneus Brevis ◽  
Distally Based

The aim of this single-center, retrospective study is to demonstrate the effectiveness of distally based peroneus brevis muscle flap as first therapeutic option for infections after Achilles tendon open repair. We retrospectively analyzed 14 consecutive patients with complete Achilles tendon rupture and developing surgical site infection after an attempt of open surgical repair. Every patient was reconstructed with distally base peroneus brevis muscle flap. The primary outcome was the return to work and the initiation of full weight-bearing. Secondary outcomes were complication rate and time needed to return to work. A review of the literature was conducted to better define the actual standard treatment. Each patient returned to work. No flap necrosis occurred. Two minor healing delays and one hematoma were reported. Median time to wound healing was 17 days (interquartile range [IQR] = 13-20). Median time to full weight-bearing was 52 days (IQR = 47-55). Median follow-up (FU) was 21 months. Distally based peroneus brevis flap is a safe treatment for surgical site infections after Achilles tendon rupture repair. Patients regained full weight-bearing after a median time of 52 days from the surgical reconstruction. No major complications were observed. This flap clearly emerges as first reconstructive option for complications after surgery of Achilles tendon region.

Anatomic Study of the Distally Based Vastus Lateralis Muscle Flap

1999 ◽  
Vol 103 (1) ◽  
pp. 101-103 ◽  
Author(s):  
Yunting Wang ◽  
Thierry Begue ◽  
Alain Charles Masquelet
Keyword(s):  
Vastus Lateralis ◽  
Muscle Flap ◽  
Vastus Lateralis Muscle ◽  
Anatomic Study ◽  
Lateralis Muscle ◽  
Distally Based

Distally Based Peroneus Brevis Muscle Flap for Large Leg, Ankle, and Foot Defects: Anatomical Finding and Clinical Application

2018 ◽  
Vol 34 (08) ◽  
pp. 616-623 ◽  
Author(s):  
Magdy Abd-Al-Moktader
Keyword(s):  
Blood Supply ◽  
Muscle Flap ◽  
Entry Site ◽  
Large Defect ◽  
Muscle Flaps ◽  
Longitudinal Splitting ◽  
Internal Distribution ◽  
Peroneus Brevis ◽  
Distally Based ◽  
Anatomical Finding

Background Peroneus brevis muscle flap is a distinguished, distally based safe flap that can be manipulated to cover small defects in the leg and ankle. For large-sized defects, a more distal, larger flap is required either locally or distantly. Methods Forty-two distally based peroneus brevis muscle flaps were elevated in 42 patients (30 males and 12 females) with major lower leg, ankle, and proximal foot defects of 6 to 15 cm in length and 6 to 12 cm in width. Anatomical findings were recorded as number, size, and sources of blood supply, entry sites, the lowermost two arterial supplies, internal distribution of blood supply to the muscle, the relationship between external and internal distribution of the blood vessels, the length of the muscle, the entry site of the main artery, and the splitting of the proximal portion of the peroneus brevis muscle to increase its width to sufficiently cover large defects. Results The anatomical findings suggested that the muscle can be safely extended to cover a large defect in the leg, ankle, or proximal foot. In addition, the longitudinal splitting of the muscle increases its width by up to three times, making it an excellent long-surviving flap to cover a large defect. Conclusion A distally based peroneus brevis muscle flap has a rich blood supply and safely reaches the proximal foot, with a secure splitting to cover large defects in the leg, ankle, and proximal foot.

scholarly journals Distally Based Pedicled Flexor Carpi Ulnaris Muscle Flap: An Anatomical Study and Clinical Application

Hand ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 121-126
Author(s):  
Kai Yang ◽  
David Rivedal ◽  
Lucas Boehm ◽  
Ji-Geng Yan ◽  
James Sanger ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Median Nerve ◽  
Average Distance ◽  
Muscle Flap ◽  
Anatomical Study ◽  
Ulnar Artery ◽  
Soft Tissue Coverage ◽  
Ulnar Styloid ◽  
Flexor Carpi Ulnaris ◽  
Distally Based

Background: Proximally based, pedicled flexor carpi ulnaris (FCU) muscle flap has been described previously for soft tissue coverage of the proximal forearm and elbow. No studies have been done on the distal muscular perforators and its use as a distally based flap. Methods: Ten fresh-frozen cadaveric dissections were done. Specimens were injected with latex to facilitate identification of the perforators. Distal muscular perforators were dissected and distances of the pedicles from the distal wrist crease and ulnar styloid were measured and recorded. A clinical case is also presented where a distally based FCU muscle flap was used for coverage in a patient with median nerve neuroma. Results: A distal muscular perforator and a second more proximal perforator were identified in all specimens. The average distance from the most distal muscular perforator to the ulnar styloid was 3.0 cm. The average distance to the wrist crease was 4.6 cm. The more proximal perforators had an average distance to the ulnar styloid and wrist crease of 7.3 cm and 8.8 cm, respectively. At 7 months post-op, the patient who underwent median nerve neurolysis and coverage with pedicled FCU flap had much improved sensation, with complete resolution of pain and tingling, and without any functional deficits. Conclusions: The use of a distally based FCU muscle flap is a good option for soft tissue coverage of the distal forearm, wrist, and hand. The distal muscular perforators from the ulnar artery exhibit a relatively consistent anatomy.

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