Nnadozie U U, Maduba C C
Department of Surgery, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria; Division of Plastic Surgery, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
Division of Plastic Surgery, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
Int J Surg Case Rep. 2020;68:129-131. doi: 10.1016/j.ijscr.2020.02.056. Epub 2020 Feb 28.
Popliteal fossa defects are common arising from several causes. Options of reconstruction around the knee could be limited by the cause of defect or interventions. Medial genicular artery flap is known in the books but not in popular use despite its obvious advantages of superior vascularity, adequate size, suppleness, and hidden donor site.
To promote the use of this flap due to its advantages and ease of use especially in resource poor settings.
We report two patients from a low resource setting aged 23 and 20 years respectively. The first case was managed for avulsion wound of the popliteal fossa while the second had post burn knee contracture release. The resultant large popliteal fossa defects on both patients were seen on clinical examination. Both patients were offered popliteal fossa reconstruction for the popliteal fossa defects using medial genicular artery flap with good outcome.
The medial genicular artery flap is a veritable option of popliteal fossa reconstruction especially for defects that are located contiguous to the flap and when other regional flap options are not available. Flap survival is excellent and donor site is hidden.
腘窝缺损常见，由多种原因引起。膝关节周围的重建选择可能会受到缺损原因或干预措施的限制。膝内侧动脉皮瓣在书中有记载，但尽管其具有血管丰富、面积足够、质地柔软和供区隐蔽等明显优势，却未得到广泛应用。
鉴于其优势及易用性，特别是在资源匮乏地区，推广使用该皮瓣。
我们报告了两名来自资源匮乏地区的患者，年龄分别为23岁和20岁。第一例患者因腘窝撕脱伤接受治疗，第二例患者因烧伤后膝关节挛缩松解。临床检查发现两名患者均有较大的腘窝缺损。两名患者均采用膝内侧动脉皮瓣修复腘窝缺损，效果良好。
膝内侧动脉皮瓣是腘窝重建的一种切实可行的选择，尤其适用于与皮瓣相邻的缺损，以及其他区域皮瓣选择不可用时。皮瓣存活率高，供区隐蔽。
