Bouveau Victoire, Potage Damien, Dubory Arnaud, Chevallier Romain, Meningaud Jean-Paul, Niddam Jérémy, Flouzat-Lachaniette Charles-Henri
Departments of Orthopaedic Surgery (V.B., D.P., A.D., R.C., and C.-H.F.-L) and Plastic Surgery (J.-P.M and J.N.), Hôpital Henri Mondor (Assistance Publique-Hôpitaux de Paris), Université Paris Est Créteil (UPEC), Créteil Cedex, France.
JBJS Case Connect. 2017 Oct-Dec;7(4):e93. doi: 10.2106/JBJS.CC.17.00071.
We present a case of lower-limb trauma associated with an extensive soft-tissue defect around the knee joint, which led to the exposure of bone and the metalwork that was used for the management of the associated fractures. Coverage was performed with a distally based sartorius muscle flap in a single-stage procedure, allowing good recovery with a nice aesthetic and functional outcome at the 1-year follow-up. Additionally, we discuss alternative options for the coverage of severe soft-tissue defects based on the clinical context.
A distally based sartorius muscle flap may be a suitable alternative for coverage of complex soft-tissue defects around the knee joint.
我们报告一例下肢创伤病例，该创伤伴有膝关节周围广泛的软组织缺损，导致骨骼及用于治疗相关骨折的金属内固定物外露。采用单阶段手术，使用以远端为蒂的缝匠肌肌瓣进行覆盖，在1年随访时实现了良好的恢复，外形美观，功能良好。此外，我们还根据临床情况讨论了覆盖严重软组织缺损的其他选择。
以远端为蒂的缝匠肌肌瓣可能是覆盖膝关节周围复杂软组织缺损的合适替代方案。
