The fasciocutaneous flap: A conservative approach to the exposed knee joint

Victor L. Lewis*, Raymond D. Mossie, David S. Stulberg, M. Hugh Bailey, B. Herold Griffith

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

The exposed knee joint poses a challenge to the reconstructive surgeon. The currently popular approach to the repair of exposed knee joints is use of muscle flaps. However, this leaves the patient with a deficit. We have therefore begun using the fasciocutaneous flap as an initial approach to this problem. In seven patients, aged 28 to 74 years, fasciocutaneous flaps have been the reconstructive procedure of choice for repair of exposed knee joints. One patient with a very large open wound required a concomitant medial gastrocnemius muscle flap. One minor wound separation occurred in a paraplegic patient with severe spasm. No other complications occurred. Follow-up ranged from 3 to 12 months, with good success in wound closure. An approach to small and intermediate wounds is presented in which the V-Y technique is used to obviate the need for skin grafting of the donor site.

Original languageEnglish (US)
Pages (from-to)252-257
Number of pages6
JournalPlastic and reconstructive surgery
Volume85
Issue number2
DOIs
StatePublished - Feb 1990

ASJC Scopus subject areas

  • Surgery

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