Patellar tendon reconstruction using an extended gastrocnemius flap following cryogenic injury to the knee.
作者信息
Kim Raymond H, Randolph Amanda H, Tirre Conrad J, Morrey Matthew, Jennings Jason M
机构信息
Colorado Joint Replacement, Denver, CO, United States; Dept. of Biomedical Engineering, University of Denver, United States; Department of Orthopedic Surgery, Joan C. Edwards School of Medicine at Marshall University, United States.
Northwestern University Feinberg School of Medicine, United States.
出版信息
Knee. 2017 Jun;24(3):686-691. doi: 10.1016/j.knee.2017.01.012. Epub 2017 Mar 25.
Cryogenic thermal necrosis after knee surgery is rare. We describe a patient who presented with an anterior knee soft tissue defect in conjunction with an extensor mechanism deficiency secondary to a cold thermal injury after an anterior cruciate ligament reconstruction. We treated the patient with a single stage surgical procedure combining patellar tendon reconstruction and soft tissue coverage utilizing the superficial portion of the patient's vascularized Achilles tendon attached to a medial gastrocnemius flap. The patient returned to unrestricted activities and has demonstrated this through a five year follow-up.
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