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Related Experiment Videos

Knee salvage utilizing the myocutaneous principle.

R F Greminger, R P Leather

    Plastic and Reconstructive Surgery
    |January 1, 1984
    PubMed
    Summary

    Knee salvage is possible in popliteal artery occlusion from plateau fractures. This technique preserves a functioning below-the-knee stump for prosthesis, improving rehabilitation outcomes.

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    Seminars in vascular surgery·1997

    Area of Science:

    • Orthopedic Surgery
    • Vascular Surgery
    • Trauma Management

    Background:

    • Popliteal artery occlusion secondary to tibial plateau fractures presents a significant challenge in limb salvage.
    • Timely revascularization is often precluded by the extent of injury and delayed presentation.
    • Standard treatment may lead to below-knee or above-knee amputation.

    Observation:

    • Two cases of tibial plateau fracture with popliteal artery occlusion are presented.
    • Necrosis of the deep leg muscles and nonvital foot necessitated amputation in both cases.
    • Evaluation of gastrocnemius myocutaneous island circulation was crucial for salvage.

    Findings:

    • A surgical technique for knee salvage was successfully applied.
    • This involved extensive debridement and salvage of the tibial fragment as a bone graft.
    • Coverage was achieved using the gastrocnemius muscle and its skin island.

    Implications:

    • This approach allows for knee salvage and the creation of a functional below-the-knee stump.
    • It offers a more satisfactory functional outcome and rehabilitation potential compared to above-knee amputation.
    • This strategy highlights the importance of assessing specific vascular territories for limb salvage in complex trauma.

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