چکیده
|
Lower extremity trauma due to a car crash or war
mine explosion is still challenging. The early history
of the lower extremity reconstruction dates back to the
Hippocrates (460-370BC). Since then, until the First
World War, amputation was the best option for saving
the lives of the patients.(1) Sushruta Sumhita (600BC)
was the first person who used the cheek flap for nasal
reconstruction.(2) However, the new era of the flap
reconstruction commenced during the First World War.
Although in that time Stark was the first person who used
muscle flap to cover lower extremity due to osteomyelitis,
the first report of the lower extremity reconstruction by
muscle flap was done by Ger.(2) Gastrocnemius muscle
has also been used to cover the exposed implant of tibia
and knee prosthesis.(3,4) Early coverage of the complicated
wound of the tibia by the gastrocnemius muscle flap can
prevent major complications.(5,6)
Based on the Mathes and Nahai classification(7)
for vascular pedicle, gastrocnemius muscle flap is
classified as type one and it has one vascular pedicle.
The gastrocnemius muscle flap is often used to cover
soft tissue defects of the knee and the upper third of the
leg. Its major benefits include minimal donor morbidity,
easy harvest and reliability.(8)
|