Abstract
Primary skin and soft tissue reconstruction of large defects around the knee may be a challenge for the plastic surgeon. Fasciocutaneous flaps play an essential role in achieving functional and aesthetic restoration. We present the surgical reconstruction of an extensive 3rd degree burn injury with knee joint capsule and ligaments involvement in a 51-year-old patient. Devitalized structures were firstly debrided and a supercharged reverse anterolateral thigh (RALT) flap was used to cover the resultant tissue defect. The ALT fascia was employed to reconstruct the damaged joint capsule in order to restore articular function. The supercharged RALT flap has a greater blood supply compared with standard flaps and enables us to use larger flaps to reconstruct extensive knee and proximal leg tissue defects.
Highlights
Free tissue transfer is an optimal option to treat deep burns where bones, tendons or vessels are exposed
We present the surgical reconstruction of an extensive 3rd degree burn injury with knee joint capsule and ligaments involvement in a 51-year-old patient
The supercharged reverse-flow anterolateral thigh (RALT) flap has a greater blood supply compared with standard flaps and enables us to use larger flaps to reconstruct extensive knee and proximal leg tissue defects
Summary
Free tissue transfer is an optimal option to treat deep burns where bones, tendons or vessels are exposed. Coverage of Severely Burn Injured Knee with Supercharged Reverse ALT Flap: Avoiding Limb Amputation Primary skin and soft tissue reconstruction of large defects around the knee may be a challenge for the plastic surgeon. We present the surgical reconstruction of an extensive 3rd degree burn injury with knee joint capsule and ligaments involvement in a 51-year-old patient.
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