Zarch Mohammadali Babaei, Mahmoudi Samira, Shirazi Mohammad Hadi Gerami, Fereidouni Armin
Orthopedic & Rehabilitation Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Faculty Member, Department of Anesthesia, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Front Surg. 2024 Dec 24;11:1490493. doi: 10.3389/fsurg.2024.1490493. eCollection 2024.
The use of the gastrocnemius muscle flap has become an excellent choice for coverage of Knee Defects. However, the surgical management of gastrocnemius muscle flap in the injuries of the popliteal artery remains a challenging therapeutic problem. The purpose of this manuscript is to present a case of a successful knee gastrocnemius flap in a patient with popliteal artery injuries. In 2024, a 46-year-old woman with a tibia fracture and popliteal artery injury went to the emergency department of Namazi Hospital. In the first step, the external fixator of the tibia bone was performed to fix the fracture. Then, popliteal artery anastomosis was performed. After two weeks, all internal implants were removed due to abscess. Four weeks later, the patient's skin developed necrosis and was repaired using medial hemi gastrocnemius Muscle flaps. We present a case of the successful use of medial hemi gastrocnemius Muscle flaps for Coverage of knee defects in the injuries of the popliteal artery.
腓肠肌肌皮瓣已成为覆盖膝关节缺损的理想选择。然而，在腘动脉损伤中，腓肠肌肌皮瓣的手术管理仍然是一个具有挑战性的治疗难题。本文旨在介绍一例成功应用膝关节腓肠肌皮瓣治疗腘动脉损伤患者的病例。2024年，一名46岁的女性因胫骨骨折和腘动脉损伤前往纳马齐医院急诊科。第一步，对胫骨进行外固定架固定骨折。然后，进行腘动脉吻合术。两周后，由于脓肿，所有内固定物均被取出。四周后，患者皮肤出现坏死，采用半侧腓肠肌内侧头肌皮瓣进行修复。我们报告一例成功应用半侧腓肠肌内侧头肌皮瓣覆盖腘动脉损伤所致膝关节缺损的病例。
