Title

The Medial Approach to the Sural Vessels to Facilitate Microanastomosis About the Knee.

Publication/Presentation Date

4-1-1994

Abstract

Complex wounds about the knee in rare instances may justify the selection of a distant microvascular tissue transfer for coverage. A major preoperative consideration then is the choice of an appropriate recipient site for revascularizing the flap that is outside the zone of injury, and preferably avoids the need for vein grafts. In many cases, the heads of the gastrocnemius muscles have protected the sural vessels from injury, allowing these to be used as a vascular extension of the popliteal system to simplify the required microanastomoses in an end-to-end fashion. Access to the sural vessels can be readily achieved through a medial approach to the popliteal fossa that permits the patient to remain supine or lateral on the operating table for simultaneous exposure of multiple privileged donor sites.

Volume

32

Issue

4

First Page

388

Last Page

393

ISSN

0148-7043

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Plastic Surgery | Surgery

PubMedID

8210158

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article