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Research and Reviews : A Journal of Medical Science and Technology Original Research

Versatile Use of the Local Muscle Flaps Pedicled by Gastrocnemius and Hemisoleus Muscle with a Longer Reach for Coverage of Lower Extremity Defects

  1. Hyon Pak Department of Microsurgery and Plastic Surgery
  2. Hwang-Ryong Ri Department of Microsurgery and Plastic Surgery
  3. Ryu-Gyong Jong
  4. Su-Yong Ju Department of Microsurgery and Plastic Surgery
  5. Chol-Bom Kim Department of Orthopaedics Surgery
  6. Song-Gun Ri Department of Microsurgery and Plastic Surgery

Abstract

Purpose: This study aims to highlight the clinical usefulness of multiple local muscle flaps pedicled on the gastrocnemius and hemisoleus muscles for managing soft-tissue defects of the lower extremity. The technique was applied to defects involving the distal femur and the distal one-third of the tibia, avoiding the need for free flap reconstruction.

Methods: From January 2014 to January 2023, multiple local muscle flaps were planned and utilized for the reconstruction of lower-extremity defects in a total of 13 patients. These procedures were performed to achieve adequate soft-tissue coverage, restore limb function, and improve overall clinical outcomes following trauma or complex tissue loss.

Results: All patients achieved complete wound healing, with only minimal and manageable complications observed during the postoperative period, indicating a favorable outcome of the reconstructive procedure.

Conclusions: Local muscle flaps based on the gastrocnemius and hemisoleus muscles represent an effective alternative for the coverage of lower-extremity defects, providing extended reach and reliable soft-tissue coverage while eliminating the need for free flap reconstruction.

Keywords

References (15)

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