How to get the most out of your gastrocnemius and soleus flaps
Summary:. Gastrocnemius and soleus flaps represent the workhorse local flaps to cover soft tissue defects of the proximal 1/3 and middle 1/3 of the leg, respectively. An important consideration before conducting a local flap is whether the flap can provide adequate coverage. The utility of the gastr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-07-01
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| Series: | OTA International |
| Online Access: | http://journals.lww.com/10.1097/OI9.0000000000000255 |
| _version_ | 1797770605433454592 |
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| author | Paul E. Matuszewski, MD Gary L. Ulrich, MD |
| author_facet | Paul E. Matuszewski, MD Gary L. Ulrich, MD |
| author_sort | Paul E. Matuszewski, MD |
| collection | DOAJ |
| description | Summary:. Gastrocnemius and soleus flaps represent the workhorse local flaps to cover soft tissue defects of the proximal 1/3 and middle 1/3 of the leg, respectively. An important consideration before conducting a local flap is whether the flap can provide adequate coverage. The utility of the gastrocnemius flap can be increased using multiple techniques to increase the arc of rotation including the posterior midline approach, dissection at the pes anserinus and medial femoral condyle origin, scoring the fascia, and inclusion of a skin paddle. Concerning the soleus flap, the hemisoleus flap represents a technique to increase the arc of rotation. With a soleus flap, one must consider the soft tissue defect location, size, and perforator blood supply because these factors influence what soleus flap technique to use. This article discusses how to make the most out of gastrocnemius flaps and soleus flaps regarding maximizing coverage and ensuring successful flap outcome. |
| first_indexed | 2024-03-12T21:24:37Z |
| format | Article |
| id | doaj.art-5fa1ea490f3747ceb365451604a963ef |
| institution | Directory Open Access Journal |
| issn | 2574-2167 |
| language | English |
| last_indexed | 2024-03-12T21:24:37Z |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | OTA International |
| spelling | doaj.art-5fa1ea490f3747ceb365451604a963ef2023-07-28T09:30:40ZengWolters KluwerOTA International2574-21672023-07-0164S10.1097/OI9.0000000000000255OI90000000000000255How to get the most out of your gastrocnemius and soleus flapsPaul E. Matuszewski, MD0Gary L. Ulrich, MD1Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky College of Medicine, Lexington, KY.Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky College of Medicine, Lexington, KY.Summary:. Gastrocnemius and soleus flaps represent the workhorse local flaps to cover soft tissue defects of the proximal 1/3 and middle 1/3 of the leg, respectively. An important consideration before conducting a local flap is whether the flap can provide adequate coverage. The utility of the gastrocnemius flap can be increased using multiple techniques to increase the arc of rotation including the posterior midline approach, dissection at the pes anserinus and medial femoral condyle origin, scoring the fascia, and inclusion of a skin paddle. Concerning the soleus flap, the hemisoleus flap represents a technique to increase the arc of rotation. With a soleus flap, one must consider the soft tissue defect location, size, and perforator blood supply because these factors influence what soleus flap technique to use. This article discusses how to make the most out of gastrocnemius flaps and soleus flaps regarding maximizing coverage and ensuring successful flap outcome.http://journals.lww.com/10.1097/OI9.0000000000000255 |
| spellingShingle | Paul E. Matuszewski, MD Gary L. Ulrich, MD How to get the most out of your gastrocnemius and soleus flaps OTA International |
| title | How to get the most out of your gastrocnemius and soleus flaps |
| title_full | How to get the most out of your gastrocnemius and soleus flaps |
| title_fullStr | How to get the most out of your gastrocnemius and soleus flaps |
| title_full_unstemmed | How to get the most out of your gastrocnemius and soleus flaps |
| title_short | How to get the most out of your gastrocnemius and soleus flaps |
| title_sort | how to get the most out of your gastrocnemius and soleus flaps |
| url | http://journals.lww.com/10.1097/OI9.0000000000000255 |
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