Lateral genicular artery flap for reconstruction of defects around the knee: a series of 5 cases

Authors

  • Surya Rao Rao Venkata Mahipathy Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Kanchipuram District, Tamil Nadu, India http://orcid.org/0000-0002-8214-8871
  • Alagar Raja Durairaj Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Kanchipuram District, Tamil Nadu, India
  • Narayanamurthy Sundaramurthy Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Kanchipuram District, Tamil Nadu, India
  • Anand Prasath Jayachandiran Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Kanchipuram District, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20204146

Keywords:

Fasciocutaneous, Knee defects, Reconstruction, Superior lateral genicular artery

Abstract

The lateral genicular artery flap is a fasciocutaneous flap used for knee reconstruction with low donor site morbidity. It is raised from the lower lateral thigh and is based upon the cutaneous termination of superior lateral genicular artery. This flap showed constant anatomy and is reliable for coverage of defects at superior and lateral portions of the knee and the proximal part of the lower leg. The study period was from January 2016 to June 2017 where we operated on 5 patients, 3 for post-traumatic and 2 were post burn contracture excision. The flap was used as a pedicled fasciocutanous and was based on the superior lateral genicular artery. Five cases underwent lateral genicular artery flap of which 4 were males and 1 was a female. Mean defect size was 12 cm×10 cm. All the donor sites were closed with a split skin graft. One patient had distal necrosis which was managed conservatively. The lateral genicular artery flap is a thin, versatile, reliable and easy to harvest flap for reconstructing defects around the knee, with good cosmetic and functional outcome.

Author Biographies

Surya Rao Rao Venkata Mahipathy, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Kanchipuram District, Tamil Nadu, India

Professor & Head,
Dept. of Plastic & Reconstructive Surgery

Alagar Raja Durairaj, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Kanchipuram District, Tamil Nadu, India

Professor,
Dept. of Plastic & Reconstructive Surgery

Narayanamurthy Sundaramurthy, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Kanchipuram District, Tamil Nadu, India

Associate Professor,
Dept. of Plastic & Reconstructive Surgery

Anand Prasath Jayachandiran, Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Kanchipuram District, Tamil Nadu, India

Assistant Professor,
Dept. of Plastic & Reconstructive Surgery

References

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Published

2020-09-23

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Section

Case Series