Biceps Femoris Musculocutaneous Flap for Reconstruction of Refractory Ulceration at the Popliteal Fossa
Background: There is a lack of information about the possibility of transfer of the long head of the biceps femoris (LHBF) musculocutaneous flap to the knee area. We discuss the use of the LHBF musculocutaneous flap to treat refractory ulceration at the popliteal fossa and the results of a prelimina...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2014-10-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/Fulltext/2014/10000/Article.11.aspx |
| _version_ | 1818195098263879680 |
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| author | Tadanobu Onishi, MD Shohei Omokawa, MD Takamasa Shimizu, MD Kanit Sananpanich, MD Yasuhito Tanaka, MD Tsutomu Kira, MD Keiichi Murata, MD Kanya Honoki, MD |
| author_facet | Tadanobu Onishi, MD Shohei Omokawa, MD Takamasa Shimizu, MD Kanit Sananpanich, MD Yasuhito Tanaka, MD Tsutomu Kira, MD Keiichi Murata, MD Kanya Honoki, MD |
| author_sort | Tadanobu Onishi, MD |
| collection | DOAJ |
| description | Background: There is a lack of information about the possibility of transfer of the long head of the biceps femoris (LHBF) musculocutaneous flap to the knee area. We discuss the use of the LHBF musculocutaneous flap to treat refractory ulceration at the popliteal fossa and the results of a preliminary study investigating the anatomical possibility of transferring this flap to the popliteal region.
Methods: Five lower extremities of 5 fresh cadaveric specimens were dissected following injection of a silicone compound into the deep femoral artery. We investigated the number, location, and diameter of nutrient branches to the LHBF originating from the deep femoral artery. Based on these results, we treated a 76-year-old woman with a refractory postradiation ulcer at the popliteal fossa associated with popliteal artery obstruction using a 25 × 7 cm LHBF musculocutaneous flap.
Results: The mean number of nutrient branches to the LHBF muscle was 3.6, with a mean diameter of 1.9 mm. One to two branches consistently arose from the distal aspect of the posterior thigh. Most branches followed an intramuscular route, giving rise to fine cutaneous branches. The distal border reached by the musculocutaneous flap was located 6.7 cm distal to the bicondylar line. The flap survived completely without complications, and the patient was able to walk with a walking frame postoperatively.
Conclusions: The LHBF musculocutaneous flap may offer a reliable treatment option for soft-tissue defects of the popliteal fossa, especially in patients with significant damage to the popliteal artery from trauma or radiation therapy. |
| first_indexed | 2024-12-12T01:12:47Z |
| format | Article |
| id | doaj.art-a69f3e2d2a3a45449ae7c92df5b8a479 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-12T01:12:47Z |
| publishDate | 2014-10-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-a69f3e2d2a3a45449ae7c92df5b8a4792022-12-22T00:43:26ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742014-10-01210e23910.1097/GOX.000000000000020401720096-201410000-00011Biceps Femoris Musculocutaneous Flap for Reconstruction of Refractory Ulceration at the Popliteal FossaTadanobu Onishi, MD0Shohei Omokawa, MD1Takamasa Shimizu, MD2Kanit Sananpanich, MD3Yasuhito Tanaka, MD4Tsutomu Kira, MD5Keiichi Murata, MD6Kanya Honoki, MD7From the Department of Orthopedic Surgery, Nara Medical University, Kashihara, JapanFrom the Department of Orthopedic Surgery, Nara Medical University, Kashihara, JapanFrom the Department of Orthopedic Surgery, Nara Medical University, Kashihara, JapanDepartment of Orthopedic Surgery, Chiangmai Medical University, Chiangmai, Thailand;From the Department of Orthopedic Surgery, Nara Medical University, Kashihara, JapanFrom the Department of Orthopedic Surgery, Nara Medical University, Kashihara, JapanDepartment of Orthopedic Surgery, Nara Municipal Hospital, Nara, Japan.From the Department of Orthopedic Surgery, Nara Medical University, Kashihara, JapanBackground: There is a lack of information about the possibility of transfer of the long head of the biceps femoris (LHBF) musculocutaneous flap to the knee area. We discuss the use of the LHBF musculocutaneous flap to treat refractory ulceration at the popliteal fossa and the results of a preliminary study investigating the anatomical possibility of transferring this flap to the popliteal region. Methods: Five lower extremities of 5 fresh cadaveric specimens were dissected following injection of a silicone compound into the deep femoral artery. We investigated the number, location, and diameter of nutrient branches to the LHBF originating from the deep femoral artery. Based on these results, we treated a 76-year-old woman with a refractory postradiation ulcer at the popliteal fossa associated with popliteal artery obstruction using a 25 × 7 cm LHBF musculocutaneous flap. Results: The mean number of nutrient branches to the LHBF muscle was 3.6, with a mean diameter of 1.9 mm. One to two branches consistently arose from the distal aspect of the posterior thigh. Most branches followed an intramuscular route, giving rise to fine cutaneous branches. The distal border reached by the musculocutaneous flap was located 6.7 cm distal to the bicondylar line. The flap survived completely without complications, and the patient was able to walk with a walking frame postoperatively. Conclusions: The LHBF musculocutaneous flap may offer a reliable treatment option for soft-tissue defects of the popliteal fossa, especially in patients with significant damage to the popliteal artery from trauma or radiation therapy.http://journals.lww.com/prsgo/Fulltext/2014/10000/Article.11.aspx |
| spellingShingle | Tadanobu Onishi, MD Shohei Omokawa, MD Takamasa Shimizu, MD Kanit Sananpanich, MD Yasuhito Tanaka, MD Tsutomu Kira, MD Keiichi Murata, MD Kanya Honoki, MD Biceps Femoris Musculocutaneous Flap for Reconstruction of Refractory Ulceration at the Popliteal Fossa Plastic and Reconstructive Surgery, Global Open |
| title | Biceps Femoris Musculocutaneous Flap for Reconstruction of Refractory Ulceration at the Popliteal Fossa |
| title_full | Biceps Femoris Musculocutaneous Flap for Reconstruction of Refractory Ulceration at the Popliteal Fossa |
| title_fullStr | Biceps Femoris Musculocutaneous Flap for Reconstruction of Refractory Ulceration at the Popliteal Fossa |
| title_full_unstemmed | Biceps Femoris Musculocutaneous Flap for Reconstruction of Refractory Ulceration at the Popliteal Fossa |
| title_short | Biceps Femoris Musculocutaneous Flap for Reconstruction of Refractory Ulceration at the Popliteal Fossa |
| title_sort | biceps femoris musculocutaneous flap for reconstruction of refractory ulceration at the popliteal fossa |
| url | http://journals.lww.com/prsgo/Fulltext/2014/10000/Article.11.aspx |
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