40-224
Colgajo de vasto lateral de pedículo distal para cobertura de lesiones complejas de rodilla
Muscular pedicular flap of vastus latelis for coverage of complex injury of the knee
M. L. GARCÍA MARTÍNEZ, J. L. ARRANZ LÓPEZ, E. ELENA SORANDO, P.J. HERNÁNDEZ MARTÍN*, M. PRIETO SÁNCHEZ**. SERVICIO DE CIRUGÍA PLÁSTICA. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA*. SERVICIO DE REHABILITACIÓN Y MEDICINA FÍSICA** DEL HOSPITAL UNVERSITARIO VIRGEN DE LA VEGA
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
The treatment of the joint complex wounds is difficult.
A good clinic, functional and aesthetic outcome is possible
when multidisciplinary approach by orthopaedics and
plastic surgeons is carried out. We report a case of a patient
with multiple fractures who presents a severe loss of soft tissue
at the knee. This lesion was due to a septic arthritis with
patellar necrosis and condillar exposition. The treatment was
made by a distally pedicled vastus lateralis muscular flap.
This flap lets efficient coverage for the exposed joint as well
as the integrity of the extensión knee function without aesthetic
sequel.
A good clinic, functional and aesthetic outcome is possible
when multidisciplinary approach by orthopaedics and
plastic surgeons is carried out. We report a case of a patient
with multiple fractures who presents a severe loss of soft tissue
at the knee. This lesion was due to a septic arthritis with
patellar necrosis and condillar exposition. The treatment was
made by a distally pedicled vastus lateralis muscular flap.
This flap lets efficient coverage for the exposed joint as well
as the integrity of the extensión knee function without aesthetic
sequel.
Palabras clave (ES):
cutánea
Pérdida
Colgajo
pediculado
Rodilla
Lesiones
complejas
Vasto
lateral
Resumen (EN)
The treatment of the joint complex wounds is difficult.
A good clinic, functional and aesthetic outcome is possible
when multidisciplinary approach by orthopaedics and
plastic surgeons is carried out. We report a case of a patient
with multiple fractures who presents a severe loss of soft tissue
at the knee. This lesion was due to a septic arthritis with
patellar necrosis and condillar exposition. The treatment was
made by a distally pedicled vastus lateralis muscular flap.
This flap lets efficient coverage for the exposed joint as well
as the integrity of the extensión knee function without aesthetic
sequel.
A good clinic, functional and aesthetic outcome is possible
when multidisciplinary approach by orthopaedics and
plastic surgeons is carried out. We report a case of a patient
with multiple fractures who presents a severe loss of soft tissue
at the knee. This lesion was due to a septic arthritis with
patellar necrosis and condillar exposition. The treatment was
made by a distally pedicled vastus lateralis muscular flap.
This flap lets efficient coverage for the exposed joint as well
as the integrity of the extensión knee function without aesthetic
sequel.
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