Knee Extensor Mechanism Reconstruction Using a Free Tensor Fascia Lata Flap With Microsurgical Perforator-To-Perforator Anastomosis: A Technical Note and Case Report.
Abstract
[CASE] We present a 59-year-old male patient with recurrent right knee extensor mechanism deficiency who underwent reconstruction using a free vascularized tensor fascia lata flap from the ipsilateral thigh with submillimeter perforator-to-perforator anastomosis. Performed in a revisional setting (third surgery) with scarring and prior failure, novel aspects included dual-layer reinforcement and limited-incision harvest with tunneling. At 12 months, he regained full extension and a stable, pain-free gait.
[CONCLUSION] This case shows that a free vascularized tensor fascia lata flap with perforator-to-perforator anastomosis is a viable option for extensor mechanism reconstruction in complex, revisional cases.
[CONCLUSION] This case shows that a free vascularized tensor fascia lata flap with perforator-to-perforator anastomosis is a viable option for extensor mechanism reconstruction in complex, revisional cases.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 3 |
MeSH Terms
Humans; Male; Middle Aged; Plastic Surgery Procedures; Perforator Flap; Fascia Lata; Free Tissue Flaps; Anastomosis, Surgical; Microsurgery
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