Knee Region Coverage with Reversed Gracilis Pedicle Flap (GReSP Flap).

ABSTRACT:

Introduction

To treat severe soft-tissue complications of total knee arthroplasty, we used an extended reversed gracilis flap based on secondary pedicles (the GReSP flap).

Step 1 prepare wound bed

Locate the gracilis and pedicles, then debride the wound bed.

Step 2 expose gracilis muscle

Expose the superficial aspect of the muscle, while protecting the saphenous vein and nerve.

Step 3 check muscle perfusion

Temporarily clamp the main vascular pedicle to ensure blood supply when perfused only by the secondary pedicles.

Step 4 mobilize muscle flap

Transect the proximal tendon of the gracilis muscle to provide maximal length for the muscle flap and ligate the main vascular and nerve pedicles.

Step 5 cover with skin graft

Suture the flap in place and

SUBMITTER: Tiengo C 

PROVIDER: S-EPMC7821971 | biostudies-literature | 2011 Jun

REPOSITORIES: biostudies-literature