scholarly journals Treatment of Chronic Lower Extremity Wound Complicated by Osteomyelitis: Using Partial Biceps Femoris Muscle Flap

2021 ◽  
Vol 17 (2) ◽  
pp. 135-140
Author(s):  
Joon Shik Hong ◽  
Young Woong Mo ◽  
Inho Kang ◽  
Gyu Yong Jung ◽  
Hea Kyeong Shin ◽  
...  

In many cases chronic wounds in the lower extremities are extremely difficult to heal because of inadequate blood supply, and when wounds are complicated by osteomyelitis, plastic surgeons and orthopedic surgeons must join forces to facilitate treatment. A 63-year-old man with bone exposure and a peripherally indurated chronic open wound complicated by osteomyelitis of the right distal thigh was admitted to the department of orthopedic surgery at our hospital. He was referred to our department for treatment of the right side chronic open wound. We report our successful experience with a partial biceps femoris muscle transposition flap with fasciocutaneous expanded-keystone advancement flap following wound and bone debridement for the coverage of complex wounds associated with bone infection. The results show two discrete layers of muscle. In patients with chronic osteomyelitis, fasciocutaneous flaps might provide a more effective means of covering full-depth soft tissue defects without donor site morbidity, compared to free flaps.

2021 ◽  
Vol 8 (4) ◽  
pp. 1343
Author(s):  
Surajit Ghatak ◽  
Sonali Adole ◽  
Debajani Deka ◽  
Muhamed Faizal

Sometimes variations in biceps femoris may be noticed like an accessory head of biceps femoris. Here during routine cadaveric dissection in the department of anatomy. All India institute of medical sciences, Jodhpur we found a case with an accessory head of biceps femoris in both the lower limbs. The muscle belly is originating from the fibers of long head of biceps femoris and going downward medially to get inserted to the medial condyle of tibia on its medial superior aspect. On the right-side insertion site is like a sheath and on half a way it is merging with medial intermuscular septum of thigh. On the left side insertion is first like a thin sheath and then a thin muscle belly. The muscle belly is thin as compared to the long and short head of the main muscle bellies. On the left side thickness is around 3.7 mm in the upper end and thinner in the lower end while on right side also it is around 3.75 mm. On right side length of muscle belly is around 5 cm and on left side it is around 5.5 cm muscle belly, then becomes a sheath with length around 0.5 mm and then again becomes a muscle belly of around 3.5 cm length. Short head is arising high up on the left side while on right side it is as normal.


1987 ◽  
Vol 16 (3) ◽  
pp. 223-230 ◽  
Author(s):  
F. A. MANN ◽  
C. H. TANGNER ◽  
C. WAGNER-MANN ◽  
W. K. READ ◽  
D. A. HULSE ◽  
...  

Skin Cancer ◽  
2006 ◽  
Vol 21 (3) ◽  
pp. 310-313
Author(s):  
Mikako OKUDA ◽  
Akemi TAKEMOTO ◽  
Junichi OZASA ◽  
Takahiro EJIMA ◽  
Makoto ICHIMIYA ◽  
...  

2009 ◽  
Vol 42 (01) ◽  
pp. 049-051
Author(s):  
S. Palanivelu

ABSTRACTA new axial pattern flap based on the terminal branches of the medial circumflex femoral artery is described for coverage of ischial pressure sore. Based on the terminal branches of the transverse branch of medial circumflex femoral artery, which exit through the gap between the quadratus femoris muscle above and the upper border of adductor magnus muscle below, this fascio cutaneous flap is much smaller than the posterior thigh flap but extremely useful to cover ischeal pressure sores. The skin redundancy below the gluteal fold allows a primary closure of the donor defect. It can also be used in combination with biceps femoris muscle flap.


Author(s):  
Miloslav Fabok ◽  
Bojan Leontijević ◽  
Lazar Tomić ◽  
Milivoj Dopsaj

The main aim of this study was to define the quantitative neuromuscular characteristics of Biceps Femoris muscle (BF) as the knee joint flexor, i.e. the major synergist of caudal body in all specific movement tasks of a football player, measured by tensiomyography (TMG) method . The secondary aim of the study was to compare all TMG-BF characteristics in relation to bilateral dimorphism, as well as to compare dominant and non-dominant legs. The research was conducted on a sample which included 54 professional players of age 23.0 ± 4.4 years; body height: 182.6 ± 15.1 cm; body mass: 81.2 ± 15.1 kg; BMI: 23.3 ± 1.2 kg/cm2. TMG variables were measured on the muscles during a transition training phase (mid-season and end of the season). The results have shown that the average Tc - 32.19 ± 7.64 and 33.21 ± 8.88 ms, Td - 25.56 ± 3.58 and 25.44 ± 3.20 ms, and Dm - 7.39 ± 1.87 and 7.52 ± 2.50 mm, for dominant and non-dominant leg, respectively. The results have indicated that there was no statistically significant difference between the examined TMG variables of dominant and non-dominant leg (Wilks' lambda Value = 0.979, F=0.300, p=0.952, Part. Ƞ2 = 0.021). It may be stated that there are no differences in the manifestation of neuromuscular characteristics in healthy elite football players regardless of their dominant leg. A high level of preparedness in football in addition to a completely healthy status of the body and locomotor system result in a complete neuromuscular contractile symmetry BF of both legs.


2004 ◽  
Vol 47 (4) ◽  
pp. 367-375 ◽  
Author(s):  
T. Kisiel ◽  
J. M. Książkiewicz

Abstract. In two Polish conservative flocks of Miniduck (K2) and Pekin (P33), registered by FAO as domestic genetic resources (World Watch List, 2000) the mean values of physical (tissue components) and qualitative traits of meat (pH15, pH24, colour of meat) were determined. The experimental flocks showed significant variations in body weight at 7 weeks of age (1540 vs 2088 in drakes and 1395 vs 1986 g in ducks), in the proportion of breast and leg muscles and skin with subcutaneous fat in eviscerated carcass. K2 ducks are characterized by outstanding musculature of breast and P33 ducks by that of lower leg and by low fatness. pH15 values of breast and leg muscles in K2 and P33 birds were greater than pH24 of these muscles. In both flocks pH15 values of 6.09 to 6.33 and pH24 values of 5.90 to 6.05 in breast muscles were lower than in leg muscles (6.33 to 6.46 and 6.12 to 6.37, respectively). A significantly lower L* value (darker colour) of breast muscle was characteristic of K2 birds (43.7 in males and 40.5 in females) compared to P33 males and females. Furthermore, breast muscles of K2 drakes and ducks had significantly higher redness (a*) and yellowness values (b*) than P33. In pectoralis superficialis muscle of K2 and P33 females, a significantly lower diameter was found for white muscle fibres (αW) (30.0 to 30.5 μm) and for red muscle fibres (βR) (16.9 to 17.6 μm) than in biceps femoris muscle (αW from 48.3 to 54.2; βR from 36.0 to 37.1 μm). Muscle fibres of K2 compared to P33 ducks were characterized by significantly greater diameters of βR muscle fibre in pectoralis superficialis muscle, and by lower αW and βR fibre diameters in biceps femoris muscle. The experiment showed that meat of ducks from the conservative flocks studied is valuable from the consumer’s point of view.


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