Gastrocnemius myocutaneous flap for prevention and treatment of osteomyelitis

Mohd Yusof, Nazri and Sulong, Ahmad Fadzli (2016) Gastrocnemius myocutaneous flap for prevention and treatment of osteomyelitis. In: 3rd AOTrauma Asia Pacific Scientific Congress and TK Experts’ Symposium, 27th-28th May 2016, Chengdu, China. (Unpublished)

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Abstract

Gastrocnemius myocutaneous flap has been used to cover a very large area of wound from the knee until distal third of the leg. The main problem with this flap is the donor site morbidity .the aim of this paper is to describe the surgical technique and the outcome related to the use of this to cover large wound in the leg. A series of 19 patients operated from 2002 til 2015 were reviewed retrospectively. there were 16 male and 3 female with the mean age of 25.2 (range 13-70). Nine wounds were located at the proximal tibia, 9 at midshaft and 1 around the knee with the mean size of 61.8 cm2 (range 30-180).. Ten were transposition flap while 9 were islanded. Fifteen donor site were skin frafted while 4 were able to close primarily. All except one flaps healed uneventfully or with minor dressing. One had to undergone below knee amputation because of persistence infection. Two patients had partial skin graft failure and the donor site which healed by dressing.One patient had extention lag due to ineficient quadricep mechanism. one had 10 degree knee contracture due to tibial plateu fractures. two patient had equinus secondary to underlying sciatic nerve injury. gastrocnemius myocutaneous flap is a good option for closure of large defect around the knee till the distal third of leg. Primary wound closure is possible for islanded gastrocnemius myocutaneous flap may reduce the donor site morbidity. aggressive post operative physiotherapy may reduce the knee and ankle contracture.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	3756/50876
Uncontrolled Keywords:	Gastrocnemius myocutaneous flap, osteomyelitis
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Nazri Mohd. Yusof
Date Deposited:	12 Jul 2016 08:40
Last Modified:	22 May 2018 11:09
URI:	http://irep.iium.edu.my/id/eprint/50876

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