Abstract

PICHARDO LEON, Narciso; PUENTE ALVAREZ, Antonio; BASULTO GOMEZ, Maité  and  PUIG RODRIGUEZ, Augusto. Fasciomuscular flap of the medial gastrocnemius: a case presentation. AMC [online]. 2011, vol.15, n.5, pp. 873-881. ISSN 1025-0255.

Background: regional myocutaneus flaps, are currently considered a basic tool in the reconstruction of fasciomyocutaneous and bone defects because of their easy dissection, vascular pedicle preservation, and increase blood supply to the damaged area. Clinical case: a 38-year-old, white and male patient was presented with a history of having suffered an open fracture of the upper third of tibia type II of Gustilo-Anderson; by a car accident. A RALCA model, external fixator was placed and subsequently was made the osteosynthesis with the AO system (plates and screws). Myofascicular flap of the gastrocnemius muscle was used to cover bone defects of the upper third of the right tibia caused by chronic osteomyelitis, of two years of evolution. Conclusions: the effectiveness of this method of treatment is demonstrated as a definite solution for bone defects with a long and torpid evolution. Its generalized use should be considered as a primary election technique in reconstructive surgery of the lower extremity.

Keywords : SURGICAL FLAPS; MUSCLE,SKELETAL [transplantation]; OSTEOMYELITIS; TIBIA [surgery]; CASE STUDIES.

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