Volume 7, Issue 3 (Autumn 2004)                   J Arak Uni Med Sci 2004, 7(3): 48-51 | Back to browse issues page

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Motamed S, Khorvash B. Case Series Report of Using Posterolatral Thigh Flap for Reconstruction of Extensive Knee Defect. J Arak Uni Med Sci 2004; 7 (3) :48-51
URL: http://jams.arakmu.ac.ir/article-1-6807-en.html
Abstract:   (1313 Views)
Introduction: One  of  the  most  important  problems  in  plastic  surgery  is  reconstruction  of  extensive  knee  soft  tissue  defect. Many  conditions  cause  this  problem  such  as  trauma, infection, burn  and  tumor  resection.
Among  different  reconstruction  techniques  posterolateral  thigh  flaps  are  relatively  new  and  it  seems  there  is  no  published  article  of  this  technique  in  Iran.  In  this  study  we  performed  poaterolateral  thigh  flap  to  cover  knee  defect  in  15  khordad  hospital  during  13800to  1382.
Materials  and  Methods: During  2 years  6  patients  suffered  from  extensive  knee  soft  tissue  damage  due  to  flame  were  under  investigation. First  they  were  treated  with  debridement  and  primary  care  and  defects  were  covered  with  gastrocnemius  flaps. Then  defects  were  covered  by  posterolateral  thigh  flap, patients  average  hospitalization  was  20  days  and  their  average  follow  up  time  was  15  months. Data  was  gathered  before  and  after  surgery.
Results: Four  cases  had  complete  survival  of  flap.  Two  cases  have  a  mild  dissolation  and  necrosis  which  was  treated  by  a  limited  debridement.  All  knee  defects  were  completely  covered.  The  donor  site  in  one  case  had  a  hypertrophic  scar  which  wad  relieved  during  time  statistical  tess  showed  a  meaningful  relationship  in  all  cases (p<0.05).
Conclusion: This  flap  was  used  successfully. we  recommend  this  technique  for  similar  conditions  because  of  its  easy  usage.
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Subject: General
Received: 2021/01/29 | Accepted: 2004/10/1

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