2018, Number 3
<< Back Next >>
Cir Plast 2018; 28 (3)
Reconstruction of popliteal fossa as a result of a pyrotechnic wound using reverse flow anterolateral flap. A case report
Salazar VI, Moreno IDA, Del Villar TA, Hernández AF
Language: Spanish
References: 22
Page: 108-114
PDF size: 398.34 Kb.
ABSTRACT
The wound areas in the popliteal fossa are a challenge for the plastic surgeon, since it is located in the middle of the lower limb, where a proximal or distal reconstruction is limited. In this work we present a man from the third decade of life with a lesion in the popliteal space as a result of a fireworks explosion. He required a maneuver with the VAC system for granulation of the wounds and later an anterior lateral thigh flap with reverse flow was used. The popliteal fossa is a region with multiple characteristics that pose a difficulty in reconstructing, since it is a zone of flexion and the neurovascular bundle must be covered. The reverse anterolateral flap is a flap with lower morbidity, broad length for skin coverage and greater versatility, making it ideal for reconstructing the popliteal fossa.
REFERENCES
De Palma RG, Burris DG, Champion HR, Hodgson MJ. Blast injuries. N Engl J Med 2005; 352 (13): 1335-1342.
Mathes SJ, Nahai F. General principles. In: Mathes SJ, Nahai F. Reconstructive surgery principles, anatomy & technique. Chapter 1, Volume I. 1a ed. USA; Churchill Livingstone; 1997. pp. 9-37.
Song TG, Chen GZ, Song YL. The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg 1984; 37 (2): 149-159.
Zhang G. Reversed anterolateral thigh island flap and myocutaneous flap transplantation. Zhonghua Yi Xue Za Zhi 1990; 70 (12): 676-646.
www.inegi.org.mx. Instituto Nacional de Estadística y Geografía 2015.
Wightman JM, Gladish SL. Explosions and blast injuries: a primer for clinicians. Atlanta: centers for disease control and prevention. [Accessed 7 March 2005] Available in: http:// www.cdc.gov/masstrauma/preparedness/ primer.pdf.
García-Núñez LM, García-Chávez LI, Núñez CO, Cabello PR, Delgado-Arámburu JG, Rivera-Cruz JM. Lesión por explosión: El escenario urbano como modelo práctico y epidemiológico del trauma en operaciones militares. Cir Gen 2009; 31 (1): 14-20.
Rouviére H, Delmas A. Tomo III: Miembros. En: Rouviére H, Delmas A. Anatomía humana. Descriptiva, topográfica y funcional. 11ª ed. España: Masson; 2005, pp. 558-568.
McCraw JB, Fishman JH, Sharzer LA. The versatile gastrocnemius myocutaneous flap. Plast Reconstr Surg 1978; 62 (1):15–23.
Shieh SJ, Chiu HY, Yu JC, Pan SC, Tsai ST, Shen CL. Free anterolateral thigh flap for reconstruction of head and neck defects following cancer ablation. Plast Reconstr Surg 2000; 105 (7): 2349-2357.
Liu TY, Jeng SF, Yang JC, Shih HS, Chen CC, Hsieh CH. Reconstruction of the skin defect of the knee using a reverse anterolateral thigh island flap. Ann Plast Surg 2010; 64 (2): 198-201.
Panse N, Bhatt Y. A study on local perforator flaps for lower extremity reconstruction: defining the safe limit of the perforator flap in lower extremity reconstruction. lap lambert academic publishing. 2011. p. 1165.
Tang ML. Anatomic basis of reversed anterolateral femoral island flap. Chin J Microsurg 1992; 15 (1): 93.
Gravvanis A, Kyriakopoulos A, Kateros K, Tsoutsos D. Flap reconstruction of the knee: a review of current concepts and a proposed algorithm. World J Orthop 2014; 5 (5): 603-613.
Zhou G, Zhang QX, Chen GY. The earlier clinic experience of the reverse-flow anterolateral thigh island flap. Br J Plast Surg 2005; 58 (2): 160-164.
Cormack GC, Lamberty BG. A classification of fasciocutaneous flaps according to their patterns of vascularization. Br J Plast Surg 1984; 37 (1): 80-87.
Gao SH, Feng SM, Chen C, Jiao C, Zhang WL. A new recipient artery for reconstruction of soft-tissue defects in the lower limb with a free anterolateral thigh flap: The reversed descending branch of the lateral femoral circumflex artery. Plast Reconstr Surg 2014; 133 (6): 892e-893e.
Demirseren ME, Efendioglu KC, Demiralp O. Kilicarslan K, Akkaya H. Clinical experience with a reverse-flow anterolateral thigh perforator flap for the reconstruction of soft-tissue defects of the knee and proximal lower leg. J Plast Reconstr Aesth Surg 2011; 64 (12): 1613-1620.
Pan SC, Yu JC, Shieh SJ, Lee JW, Huang BM, Chiu HY. Distally based anterolateral thigh flap: An anatomic and clinical study. Plast Reconstr Surg 2004; 114 (7): 1768-1775.
Wong CH and Tan BK. Maximizing the reliability and safety of the distally based sural artery flap. J Reconstr Microsurg. 2008; 24 (8): 589-594.
Pribaz JJ, Orgill DP, Epstein MD, Sampson CE, Hergrueter CA. Anterolateral thigh free flap. Ann Plast Surg 1995; 34 (6): 585-592.
Sadigh PL. Wu, CJ, Shih HS, Jeng SF. Reverse anterolateral thigh flap to revise a below-knee amputation stump at the mid-tibial level. Plast Reconstr Surg Glob Open 2014; 1 (9): e88-e91.