Perforator Plus Fasciocutaneous Flaps in the Reconstruction of Post-Burn Flexion Contractures of the Knee Joint
| Autor: | Abhimanyu Bhattacharya, Tibar Banerjee, Raghavendra Sawarappa, Ashwin Pai, Madhumita Gupta, Bijay Kumar Majumdar, Aditya V. Kanoi, Ravi R. Setty |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Flexion contracture
medicine.medical_specialty Popliteal fossa business.industry Clinical Biochemistry fasciocutaneous flap lcsh:R lcsh:Medicine General Medicine Knee Joint Surgery knee joint medicine.anatomical_structure Venous congestion medicine peninsular flap Flexion contractures Primary treatment Original Article post-burn contracture Contracture medicine.symptom business perforator-plus flap Perforator flaps |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 7, Iss 5, Pp 896-901 (2013) |
| Popis: | Background: A post-burn flexion contracture of the knee joint is a disabling condition which interferes with an upright posture and a bipedal locomotion. Islanded perforator flaps have been used to resurface the tissue defect which is produced as a result of the contracture release. Despite their various advantages, they are limited by an increased tendency to undergo venous congestion. Perforator-plus flaps can be used to overcome this limitation, while retaining the merits of the islanded perforator flaps. Methods: Ninteen patients with post flame burn flexion contrac tures of the knee joints underwent surgical releases and coverages by various local fasciocutaneous perforator-plus flaps. The patients were followed up for 6 months and the various aspects of the functional and the aesthetic rehabilitations were assessed. Results: All the local fasciocutaneous perforator-plus flaps resurfaced the tissue defect over popliteal fossa with good colour and texture match and maintenance of the contour. None of the flaps had any significant early or delayed complications (which included venous congestions) which necessitated reoperations. All the patients were satisfied with the functional and aesthetic outcomes. Conclusion: Local fasciocutaneous perforator-plus flaps can be considered as one of the primary treatment modalities for the surgical release and reconstruction of post burn flexion contractures of the knee. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|