Soft Tissue Coverage Using a Combined Gastrocnemius-medial Sural Artery Perforator Flap

Lee,  Jae Hoon; Son,  Eun Suck

Case Report

Journal of the Korean Society for Surgery of the Hand 2008;17(1):1-6.
Published online May 31, 2008.

Soft Tissue Coverage Using a Combined Gastrocnemius-medial Sural Artery Perforator Flap

Jae-Hoon Lee, Eun-Suck Son

Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Seoul, Korea. ljhortho@yahoo.co.kr

비복근 - 내측 비복 동맥 천공지 복합 피판을 이용한 연부조직 재건

Abstract

  Medial gastrocnemius flap has been known as a useful option for soft tissue reconstruction of the knee and upper 1/3 of lower extremity, but it has a limitation to cover the lateral defect of the knee joint. We performed the combined gastrocnemius-medial sural artery perforator flap for coverage of the anterolateral defects of the knee joint, which is compound flap using a medial gastrocnemius flap and a medial sural artery perforator flap. This flap is a useful method for reconstruction of anterolateral knee defects, providing a easy dissection without the microsurgery and intramuscular dissection of the perforators.

Key Words: Soft tissue defect, Knee, Compound flap, Gastrocnemius flap, Medial sural artery perforator flap