Supermicrosurgical reconstruction of knee defect using superior medial genicular perforator as a recipient vessel

发表时间：2015-12-08 浏览次数：1181次

引用：

Kim H. Supermicrosurgical reconstruction of knee defect using superior medial ge

关键词：

作者：

Hoon Kim

作者单位：

Department of Plastic and Reconstructive Surgery,

出版年份：

2014

期刊页数：

81-83

收录者：

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摘要：

A 24-year-old male presented after being involved in a motorcycle accident and was found to have soft tissue defects of the knee with exposure of patella. Due to the severe injury from the popliteal fossa to the posterior aspects of the lower leg, repair with a free flap from anterolateral thigh perforator was planned instead of local calf muscle flap. Preoperative angiography was performed, and it showed that superior medial genicular perforator was patent compared with unreliable filling of the superior lateral genicular perforator. The soft tissue defect was repaired using the superior medial genicular perforator as the recipient vessel. This was performed by creating perforator to perforator anastomosis (supermicrosurgery). The flap survived successfully, and the patient was able to ambulate in a few weeks without serious complications. This case indicates that superior medial genicular perforator can be used as the recipient vessel for covering the soft tissue defects of the knee caused by blunt injury.

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