Synchronous Bilateral Local Medial Sural Artery Perforator Flaps for “Hooker Knees”

Geoffrey G Hallock

doi:10.31487/j.jscr.2020.02.07

Abstract

Pressure sores restricted to the knee region in an ambulatory patient are extremely unusual. However, this can be an occupational hazard for the prostitute who is not given the courtesy of adequate breaks to prevent simultaneous bilateral knee tissue ischemia. The existence of this condition to date has been poorly discussed in the reconstructive literature. Yet treatment varies little from the basic principles for pressure sore management. Once that is completed, the medial sural artery perforator flap donor site usually remains uninvolved by any etiological mechanisms and provides a local flap with a long pedicle that potentially can permit the necessary synchronous coverage of the bilateral “hooker knee.”

Highlights

Contrary to popular belief, an etymological search of the English word “hooker” proves that this has existed in the dictionary since 1567, with an antiquated definition to be a thief or pickpocket who uses a pole with a hook on the end to facilitate his thievery [1, 2]
Pressure sores restricted to the knee region in an ambulatory patient are extremely unusual
This can be an occupational hazard for the prostitute who is not given the courtesy of adequate breaks to prevent simultaneous bilateral knee tissue ischemia

Summary

Introduction

An etymological search of the English word “hooker” proves that this has existed in the dictionary since 1567, with an antiquated definition to be a thief or pickpocket who uses a pole with a hook on the end to facilitate his thievery [1, 2]. Synchronous Bilateral Local Medial Sural Artery Perforator Flaps for “Hooker Knees” Division of Plastic Surgery, St. Luke’s Hospital, Sacred Heart Division, Allentown, Pennsylvania, USA

Results

Conclusion