Hemi-Gastrocnemius Hemi-Soleus Bi-pedicled Muscle Flap and Bone Transport in Reconstruction of Bone and Soft Tissue Defects in an Open Fracture Tibia Gustilo Type IIIc
2024

Using Muscle Flaps to Fix Severe Leg Injuries

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Ali Mohammad A, Sanad Mohammed A, Elhassan Mohamed O, Alawadi Khalid

Primary Institution: Rashid Hospital, Dubai Health Authority, Dubai, ARE

Hypothesis

Can a combined hemigastrocnemius and hemisoleus muscle flap effectively manage complex lower extremity injuries with extensive soft tissue defects and vascular compromise?

Conclusion

The combined muscle flap approach is a reliable method for treating severe leg injuries, leading to successful recovery and functional outcomes.

Supporting Evidence

  • The patient achieved complete wound healing and functional recovery.
  • Preoperative CT angiography was crucial for planning the surgical approach.
  • The combined muscle flap approach simplifies the reconstruction process.

Takeaway

Doctors can use special muscle flaps to help heal serious leg injuries, making it easier for patients to recover and walk again.

Methodology

The patient underwent a combined hemigastrocnemius and hemisoleus muscle flap procedure after preoperative assessment using CT angiography.

Limitations

The flap may not provide sufficient coverage for defects extending beyond the proximal or mid-third of the tibia, and donor site morbidity may occur.

Participant Demographics

A 34-year-old male patient with a severe open tibia and fibula fracture.

Digital Object Identifier (DOI)

10.7759/cureus.75294

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