Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two cases
Reconstruction of an infected knee joint with a large defect and extensor mechanism deficiency is challenging. In this study, we aim to describe a one-stage reconstruction surgery and provide its surgical outcome. Two patients had patellar open fracture and subsequent septic arthritis; in addition,...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-07-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499020935994 |
| _version_ | 1818348704047824896 |
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| author | Wen-Chih Liu Chih-Hau Chang Cheng-Chang Lu Yin-Chih Fu Chun-Kuan Lu |
| author_facet | Wen-Chih Liu Chih-Hau Chang Cheng-Chang Lu Yin-Chih Fu Chun-Kuan Lu |
| author_sort | Wen-Chih Liu |
| collection | DOAJ |
| description | Reconstruction of an infected knee joint with a large defect and extensor mechanism deficiency is challenging. In this study, we aim to describe a one-stage reconstruction surgery and provide its surgical outcome. Two patients had patellar open fracture and subsequent septic arthritis; in addition, a large soft tissue defect, loss of patella, and shortening of the patellar tendon were observed. The semitendinosus–gracilis tendon formed a loop to stabilize the patella. A free or supercharged reverse pedicle myocutaneous anterolateral thigh flap with fascial extension is designed to fill the defect and eradicate the infection. Mean clinical follow-up was 18 months. Although some limitation in the knee range of motion was observed, the dynamometer showed only partial loss in peak concentric power and eccentric power. We developed an innovative surgical procedure to alleviate infection and reconstruct a complex knee defect with extensor mechanism deficiency; this procedure resulted in favorable clinical outcomes. |
| first_indexed | 2024-12-13T17:54:17Z |
| format | Article |
| id | doaj.art-50cf9a716593439883301637b46b9876 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-13T17:54:17Z |
| publishDate | 2020-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-50cf9a716593439883301637b46b98762022-12-21T23:36:25ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902020-07-012810.1177/2309499020935994Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two casesWen-Chih Liu0Chih-Hau Chang1Cheng-Chang Lu2Yin-Chih Fu3Chun-Kuan Lu4 Department of Orthopedic Surgery, Kaohsiung Medical University Hospital, Kaohsiung Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung Department of Orthopedic Surgery, Kaohsiung Medical University Hospital, KaohsiungReconstruction of an infected knee joint with a large defect and extensor mechanism deficiency is challenging. In this study, we aim to describe a one-stage reconstruction surgery and provide its surgical outcome. Two patients had patellar open fracture and subsequent septic arthritis; in addition, a large soft tissue defect, loss of patella, and shortening of the patellar tendon were observed. The semitendinosus–gracilis tendon formed a loop to stabilize the patella. A free or supercharged reverse pedicle myocutaneous anterolateral thigh flap with fascial extension is designed to fill the defect and eradicate the infection. Mean clinical follow-up was 18 months. Although some limitation in the knee range of motion was observed, the dynamometer showed only partial loss in peak concentric power and eccentric power. We developed an innovative surgical procedure to alleviate infection and reconstruct a complex knee defect with extensor mechanism deficiency; this procedure resulted in favorable clinical outcomes.https://doi.org/10.1177/2309499020935994 |
| spellingShingle | Wen-Chih Liu Chih-Hau Chang Cheng-Chang Lu Yin-Chih Fu Chun-Kuan Lu Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two cases Journal of Orthopaedic Surgery |
| title | Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two cases |
| title_full | Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two cases |
| title_fullStr | Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two cases |
| title_full_unstemmed | Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two cases |
| title_short | Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two cases |
| title_sort | reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon a report of two cases |
| url | https://doi.org/10.1177/2309499020935994 |
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