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Abstract
A new method of microsurgical reconstruction of soft tissues defects of a knee in the conditions of inability to form pedicled flaps of thigh and shin has been offered. Prefabricated pedicled fasciocutaneous donor flap of the thickness needed is created on the anterior and anterior-medial surface of the same thigh. The donor flap is based on the previously transplanted radial forearm fascial free flap. This method provides recreation of wholesome periarticular soft tissues, eradication of the local infection, increase of range of motion in the knee joint and possibility to fulfill in the future perspective total knee arthroplasty as well as any other surgical operations.
Highlights
Microsurgical reconstruction of soft tissues of knee region in absence of local plastic resources in preparation for arthroplasty
The donor flap is based on the previously transplanted radial forearm fascial free flap. This method provides recreation of wholesome periarticular soft tissues, eradication of the local infection, increase of range of motion in the knee joint and possibility to fulfill in the future perspective total knee arthroplasty as well as any other surgical operations
Преимуществами предложенного нового способа замещения обширных дефектов покровных и глубжележащих мягких тканей в области коленного сустава при отсутствии местных пластических ресурсов является возможность создания многослойного, обладающего полноценным кожным покровом лоскута необходимой толщины и размера на длинной сосудистой ножке, выполнение всех операций под регионарной анестезией и без изменения положения больного в ходе них, а также относительно невысокая травматичность каждого из этапов хирургического лечения
Summary
Microsurgical reconstruction of soft tissues of knee region in absence of local plastic resources in preparation for arthroplasty. A new method of microsurgical reconstruction of soft tissues defects of a knee in the conditions of inability to form pedicled flaps of thigh and shin has been offered.
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