Abid Hatim, Bouziane Ahmed, Idrissi Mohamed El, Shimi Mohamed, Ibrahimi Abdelhalim El, Mrini Abdelmajid El
Service de Chirurgie Ostéo-articulaire B4, CHU Hassan II, Fès, Maroc.
Pan Afr Med J. 2020 Jun 1;36:58. doi: 10.11604/pamj.2020.36.58.7321. eCollection 2020.
Our study reports 4 cases of male patients with wounds on the anterior face of the knee loosing cutaneous substance after motorcycle accident. The patients had undergone surgery involving the debridement and the application of four proximally based sural fasciocutaneous flaps since 2012. The average age of patients ranged from 28 to 42 years. The highest loss of cutaneous substance measured 14 x 10 cm. The average pedicle length was 14 cm. The post-operative suites were uneventful with a satisfactory wound healing. From a functional point of view the knee and the ankle were completely mobile. This study shows the effectiveness and reliability of proximally based sural fasciocutaneous flap in the coverage of post-traumatic losses of cutaneous substances of the anterior face of the knee, and allows for limit the indications for heads of the gastrocnemius muscle flaps.
我们的研究报告了4例男性患者，他们在摩托车事故后膝盖前侧出现伤口并伴有皮肤缺损。自2012年以来，这些患者接受了包括清创和应用4个近端蒂腓肠肌筋膜皮瓣的手术。患者的平均年龄在28至42岁之间。最大的皮肤缺损面积为14×10厘米。平均蒂长为14厘米。术后恢复顺利，伤口愈合良好。从功能角度来看，膝关节和踝关节活动完全正常。本研究表明近端蒂腓肠肌筋膜皮瓣在覆盖膝关节前侧创伤后皮肤缺损方面的有效性和可靠性，并有助于限制腓肠肌肌瓣的应用指征。
