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Distally Based Sartorius Flap to Cover Knee Joint Defect

INTRODUCTION: The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth. We report a case with large soft-tissue defect at anterior knee joint that primary closure cannot be done with successfully used distally based sarto...

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Autores principales: Niempoog, Sunyarn, Tanariyakul, Yot
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6742873/
https://www.ncbi.nlm.nih.gov/pubmed/31559225
http://dx.doi.org/10.13107/jocr.2250-0685.1412
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author Niempoog, Sunyarn
Tanariyakul, Yot
author_facet Niempoog, Sunyarn
Tanariyakul, Yot
author_sort Niempoog, Sunyarn
collection PubMed
description INTRODUCTION: The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth. We report a case with large soft-tissue defect at anterior knee joint that primary closure cannot be done with successfully used distally based sartorius flap and full-thickness skin graft to cover this defect. CASE REPORT: A 30-year-old man had a large skin defect at the knee following a motorcycle accident. The patella tendon and patella were exposed. We use the sartorius muscle flap to cover the wound defect. First, a skin incision was done on the muscle alignment. Then, the sartorius muscle was dissected, and the proximal set of segmental vessels was identified and ligated. Afterward, the sartorius was moved into subcutaneous tunnel and expanded to provide coverage for the wound defect. Finally, we used the full-thickness skin graft to cover over the muscle flap. The flap and graft were survived. The patient could return to work after 1 month after the operation. CONCLUSION: In the case with soft-tissue defects around knee joint, there are many operative techniques. Our case has a large wound at anterior aspect of knee joint. We used the distally based sartorius flap to cover the wound defect. Following the transposition, the sartorius remained viable through out its length, and the patient had full post-operativerecovery.
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spelling pubmed-67428732019-09-26 Distally Based Sartorius Flap to Cover Knee Joint Defect Niempoog, Sunyarn Tanariyakul, Yot J Orthop Case Rep Case Report INTRODUCTION: The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth. We report a case with large soft-tissue defect at anterior knee joint that primary closure cannot be done with successfully used distally based sartorius flap and full-thickness skin graft to cover this defect. CASE REPORT: A 30-year-old man had a large skin defect at the knee following a motorcycle accident. The patella tendon and patella were exposed. We use the sartorius muscle flap to cover the wound defect. First, a skin incision was done on the muscle alignment. Then, the sartorius muscle was dissected, and the proximal set of segmental vessels was identified and ligated. Afterward, the sartorius was moved into subcutaneous tunnel and expanded to provide coverage for the wound defect. Finally, we used the full-thickness skin graft to cover over the muscle flap. The flap and graft were survived. The patient could return to work after 1 month after the operation. CONCLUSION: In the case with soft-tissue defects around knee joint, there are many operative techniques. Our case has a large wound at anterior aspect of knee joint. We used the distally based sartorius flap to cover the wound defect. Following the transposition, the sartorius remained viable through out its length, and the patient had full post-operativerecovery. Indian Orthopaedic Research Group 2019 /pmc/articles/PMC6742873/ /pubmed/31559225 http://dx.doi.org/10.13107/jocr.2250-0685.1412 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Niempoog, Sunyarn
Tanariyakul, Yot
Distally Based Sartorius Flap to Cover Knee Joint Defect
title Distally Based Sartorius Flap to Cover Knee Joint Defect
title_full Distally Based Sartorius Flap to Cover Knee Joint Defect
title_fullStr Distally Based Sartorius Flap to Cover Knee Joint Defect
title_full_unstemmed Distally Based Sartorius Flap to Cover Knee Joint Defect
title_short Distally Based Sartorius Flap to Cover Knee Joint Defect
title_sort distally based sartorius flap to cover knee joint defect
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6742873/
https://www.ncbi.nlm.nih.gov/pubmed/31559225
http://dx.doi.org/10.13107/jocr.2250-0685.1412
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