government site. The site is secure. Of these, salvage bypass and/or salvage muscle flap was required in eight cases (73%). Federal government websites often end in .gov or .mil. The range of motion of the knee at postoperative 1 year. official website and that any information you provide is encrypted The https:// ensures that you are connecting to the The SAFF technique includes dissection of fascia off sartorius and/or adductor muscles, rotation over femoral vasculature, and suturing into place. A total of 99 patients underwent 103 SM procedures. The artery shown in the current CTA is that recanalized artery. Methods: At 1 year after surgery, his knee healed completely (Fig. Federal government websites often end in .gov or .mil. The graft did not have a telltale haze around it nor a dark halo of fluid which signaled to me that it was likely well incorporated and only sick in the exposed part. Anatomical basis for distal sartorius muscle flap for reconstructive surgery below the knee. The sartorius-cutaneous groin flap presented is a new reconstructive option from a familiar donor region. Before Muscle flaps can be used to facilitate soft-tissue coverage and graft salvage. Tag: sartorius flap 2 May 2017 Salvage: A different approach to graft infections in the groin The blood supply to sartorius muscle is mostly comprised of muscular branches . This technique improves the viability of cutaneous flap before their transfer. The purpose of this study is to determine the reliability of SM performed by vascular surgeons in the management of vascular groin wound complications. Federal government websites often end in .gov or .mil. J Surg Case Rep. 2017 Feb 4;2017(2):rjx009. 2015 Jun;135(6):1707-1714. doi: 10.1097/PRS.0000000000001267. During the study period, 21 sartorius muscle flaps were performed in 20 patients. The patella tendon and patella were exposed. The soft-tissue defect at knee joint is one of the complications in traumatic knee injury. Distally based sartorius flap, soft-tissue defect, knee joint. HHS Vulnerability Disclosure, Help Management of exposed inguinofemoral arterial conduits by skeletal muscular rotational flaps. Sartorius myoplasty (SM) has been used as an adjunct for soft tissue coverage in vascular groin wound complications. An official website of the United States government. Results: Anatomical study and case report. It lies superficially in the anterior compartment of thigh and runs from anterior superior iliac spine of the pelvic bone to the anteromedial surface of the uppertibia. Before Primary wound closure was achieved in 7 patients. The .gov means its official. The site is secure. Furthermore, we use the regional sartorius muscle flap since it is the preferred method when the wound is located at the knee which in this case is located at the medial of the knee [3]. 8600 Rockville Pike FOIA Le signalement, les signes cliniques avant lopration, lemplacement et ltendue de la tumeur, les rsultats de limagerie diagnostique et de la pathologie clinique, les mthodes chirurgicales et les complications ont t consigns. Bookshelf Despite these advantages, the flap's reliability has been questioned because of the segmental blood supply to the muscle and the flap's limited arc of rotation. Ann Plast Surg. Bethesda, MD 20894, Web Policies Clipboard, Search History, and several other advanced features are temporarily unavailable. The Marriage of Sartorius and Tensor Fasciae Latae in Treating Vascular Prosthetic Graft Infections. A muscle flaps such as sartorius are useful for deep infection because they obliterate the dead space arising from debridement and bring stability to the wound. The wound developed from a contusion to a necrotic tissue. The .gov means its official. These flaps are useful in large, deep, and infected wound, but they are associated with variable donor site morbidity and need the pre-operative vascular imaging to select the recipient vessel. Physiotherapy helps to decrease the inflammation of the muscle & improve mobility. An official website of the United States government. We report the frequency of utilization of ST and associated clinical outcomes in a national sample. Would you like email updates of new search results? In cases of SM failure, the vascular surgeon should consider other more extensive muscle flap options. Epub 2016 Jul 29. de la Puerta B, Buracco P, Ladlow J, Emmerson T, Del Magno S, Field E, Baines S. J Small Anim Pract. Transverse (A) and sagittal (B) plane images from preoperative computed tomography of Dog, Intra-operative and post-operative images from, Intra-operative and post-operative images from Dog 1. The rest of the abdomen was then draped with a second large adhesive drape. Sartorius myoplasty (SM) has been used as an adjunct for soft tissue coverage in vascular groin wound complications. Few days later, the wound develops into a necrotic tissue which leads to a debridement being done on the patient. However, the reliability of SM as a primary muscle flap has been questioned. Zenunaj G, Traina L, Acciarri P, Spataro C, Gasbarro V. Ann R Coll Surg Engl. Before This case series demonstrates that the sartorius muscle flap is a feasible option for the closure of large caudal abdominal wall defects. 2020 Jan;102(1):14-17. doi: 10.1308/rcsann.2019.0070. For our case, the wound was large (>6 cm) that they suggest to use a free flap such as free anterolateral thigh flap or free latisimus dorsi flap to reconstruct a large, deep, and infected wound. 2004 Jan;52(1):49-53. doi: 10.1097/01.sap.0000099960.68038.53. A retroperitoneal (transplant-type) right lower quadrant incision was made (below) and the external iliac artery and graft were exposed. The objectives of this study were to describe the sartorius muscle flap for body wall reconstruction, including description of the anatomy and surgical technique and to report its clinical application for abdominal wall . Gerli MFM, Guyette JP, Evangelista-Leite D, Ghoshhajra BB, Ott HC. The site is secure. government site. The adventitia had good quality despite the longstanding occlusion. The patient was prepped and draped, the groin was excluded by placing a lap pad soaked in peroxide/betadine/saline solution (recipe for brown bubbly liter saline, a bottle of peroxide, a bottle of betadine), and covering with an adesive drape. There are many operative techniques to reconstruct the defects depending on size, location, depth, and complexity of the wound. eCollection 2018. will also be available for a limited time. To protect femoral vessels while preserving the sartorius muscle, we developed a novel sartorius and adductor fascial flap (SAFF) technique for coverage. 8600 Rockville Pike It is a superficial muscle, the longest muscle and its. Search life-sciences literature (Over 39 million articles, preprints and more) Epub 2019 Jun 3. The sartorius muscle is the longest muscle in the body. FOIA 2017 May 8;13:161-168. doi: 10.2147/VHRM.S106898. To prepare for that, I had his deep femoral veins mapped. An alternative surgical treatment for patient with soft tissue defect at anterior aspect of knee joint by using the distally based sartorius flap. 2021 Nov;62(11):984-991. doi: 10.1111/jsap.13384. Unable to load your collection due to an error, Unable to load your delegates due to an error. official website and that any information you provide is encrypted See this image and copyright information in PMC. First, a skin incision was done on the muscle alignment. Original operations included femoral endarterectomy with patch repair in 8, aortofemoral graft in 6, axillofemoral graft in 4, and femoral-distal bypass in 3 patients. It avoids having to harvest deep femoral vein -another large operation to which the body responds truculently. Bookshelf It has low donor-site morbidity, little functional impact, is quick to raise and can be raised with the patient supine and the leg in neutral. Would you like email updates of new search results? From July of 2000 to January of 2004, 40 sartorius muscles were . We report a case with large soft-tissue defect at anterior knee joint that primary closure cannot be done with successfully used distally based sartorius flap and full-thickness skin graft to cover this defect. We have used this method routinely during the past 6 years in patients with groin sepsis and did not . Fifty-five human cadaveric sartorius muscles and 30 canine cadaveric sartorius muscles underwent angiographic and dissection studies, and the location and course of the vessels and nerves supplying sartorius are . The patients were 43 per cent male and 57 per cent female; the mean age was 69 years. Reconstruction of a large anterolateral knee defect using a delayed distally based total sartorius flap and a medial gastrocnemius flap. Dissecting was made difficult by how well incorporated it was. The plaque came out easily and was not infected appearing. J Am Anim Hosp Assoc. Disclaimer, National Library of Medicine The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth. An official website of the United States government. Obeid T, Locham S, Arhuidese I, Nejim B, Aridi HD, Malas M. Ann Vasc Surg. SM performed by the vascular surgeon provides reliable soft tissue coverage for vascular groin wound complications and should be used as the primary muscle flap in the majority of patients. Autologous tunica vaginalis communis flap for repairing an abdominal wall hernia in a dog. The .gov means its official. Epub 2017 Mar 1. According to previous study, a distal third of the sartorius has a mean mobile length of 5.6 cm. A large contusion was presented. The sartorius muscle flap is a versatile surgical technique, which has proven successful for repairing ipsilateral and contralateral abdominal wall defects after hemipelvectomy and en bloc tumor removal as shown by this case series. Accessibility Fischer JP, Mirzabeigi MN, Sieber BA, Nelson JA, Wu LC, Kovach SJ, Low DW, Serletti JM, Kanchwala S. J Plast Reconstr Aesthet Surg. Les objectifs de cette tude taient de dcrire le rabat du muscle sartorius pour la reconstruction de la paroi du corps, y compris la description de lanatomie et de la technique chirurgicale et de faire rapport sur son application clinique pour la reconstruction de la paroi abdominale des chiens et des chats. government site. Outcome analysis of 244 consecutive flaps for managing complex groin wounds. Thomas WO 3rd, Parry SW, Powell RW, McGee GS, Rodning CB. Les reconstructions du dfaut de la paroi abdominale en utilisant le rabat du muscle sartorius ont t ralises avec succs chez les 5 patients avec un bon retour de fonction. Federal government websites often end in .gov or .mil. Please enable it to take advantage of the complete set of features! Colwell AS, Donaldson MC, Belkin M, Orgill DP. About the half of the sartorius muscle as able to be sung down over the femoral artery. The sartorius muscle is innervated by the femoral nerve. eCollection 2017 Feb. Management of early groin vascular bypass graft infections with sartorius and rectus femoris flaps. 1997 Jan-Feb;33(1):91-6. doi: 10.5326/15473317-33-1-91. The external iliac artery was opened and focally endarterectomized of occlusive plaque (image below). doi: 10.1093/jscr/rjx009. Would you like email updates of new search results? sharing sensitive information, make sure youre on a federal Les critres dinclusion taient des chats ou des chiens ayant subi une rsection de tumeur qui avait produit un dfaut de la paroi abdominale qui avait t reconstruite laide dun rabat du muscle sartorius ipsilatral ou contralatral. Clipboard, Search History, and several other advanced features are temporarily unavailable. The sartorius muscle assists in flexing the thigh at the hip joint and the leg at the knee joint. (Traduit par Isabelle Vallires). Cette srie de cas dmontre que le rabat du muscle sartorius reprsente une option possible pour la fermeture de larges dfauts de la paroi abdominale caudale. For small and deep soft-tissue defect (<4 cm) which is exposed to . Finally, we used the skin graft to cover over the muscle flap (Fig. Well-healed flap at 1 year postoperatively in the anterior and medial view. The operation results showed a successful reconstruction without any complications. The sartorius muscle flap is a versatile surgical technique, which has proven successful for repairing ipsilateral and contralateral abdominal wall defects after hemipelvectomy and en bloc tumor removal as shown by this case series. The wound was irrigated (with brown bubbly) and closed, dressed, and sealed over with the adhesive drape. HHS Vulnerability Disclosure, Help Rotational sartorius flaps were performed to attempt salvage of underlying vascular grafts. The artery of the . The https:// ensures that you are connecting to the One patient developed bilateral inguinal seromas for which bilateral muscle flaps were performed. doi: 10.1097/GOX.0000000000001274. Numerous operative methods have been used to reconstruct soft-tissue defects around the knee joint [1, 3, 4]. Transverse (A) and sagittal (B) plane images from preoperative computed tomography of Dog 1 revealing a large, mixed attenuation, contrast-enhancing, soft tissue mass in the left paralumbar fossa region (arrows). Accessibility The objectives of this study were to describe the sartorius muscle flap for body wall reconstruction, including description of the anatomy and surgical technique and to report its clinical application for abdominal wall reconstruction in dogs and cats. In 82 per cent of the cases, the sartorius muscle was still viable at reoperation and was used for continued muscle coverage. A 30-year-old man had a large skin defect at the knee following a motorcycle accident. Background: Inguinal lymph node dissection (ILND) for melanoma has been associated with high rates of wound complication (WC). Sartorius muscle flaps are effective at facilitating complicated femoral wound healing while maintaining graft salvage and patency. Then, the sartorius muscle was dissected, and the proximal set of segmental vessels was identified and ligated. The difference between this algorithm and our case is the size of wound. We report a case of a woman presenting with a long-term non-healing wound below the tibial tubercle that underwent a successful sartorius muscle flap. A Sartorius muscle elevation over, Intra-operative images from Cat 3. The most common reason for SM failure was hemorrhage (45%). Request PDF | Sartorius muscle flap for body wall reconstruction: Surgical technique description and retrospective case series | The objectives of this study were to describe the sartorius muscle . show knee reconstructive algorithm [ 3 ]. reported two cases with a complex wound at the knee [4]. The objectives of this study were to describe the sartorius muscle flap for body wall reconstruction, including description of the anatomy and surgical technique and to report its clinical application for abdominal wall reconstruction in dogs and cats. One of which was the sartorius muscle flap which was first used in 1978 to close an exposed knee joint [1]. sharing sensitive information, make sure youre on a federal Covering of an exposed vascular graft in the groin with an external oblique muscle rotational flap. Revascularisation through the obturator foramen of lower limbs with a compromised ipsilateral groin due to infection. Inclusion criteria were cats or dogs that had a tumor resection resulting in an abdominal wall defect that was reconstructed using an ipsilateral or contralateral sartorius muscle flap. Clin Tech Small Anim Pract. 2016 Dec 1;78(11):1717-1721. doi: 10.1292/jvms.16-0275. The sartorius muscle muscle provides a landmark for finding the pedicle to the flap. Therefore, the sartorius has greater arc of rotation that easily to rotate a muscle flap to cover the knee joint. A Hyperpigmentation and moist desquamation secondary to radiotherapy at Day 54 post-surgery; B Surgical site healed. Sartorious Muscle Flap (Maham Rahimi, MD Jordan, Kaplan, MD) - YouTube 0:00 / 6:20 Sign in to confirm your age This video may be inappropriate for some users. Hong et al. As predicted on CT, the graft was well incorporated. The sartorius muscle flap has several advantages over other muscle flaps: it is immediately adjacent to the groin, it is easy to prepare, and the harvest causes no functional morbidity. Coverage of difficult wounds around the knee joint with prefabricated, distally based sartorius muscle flaps. Bethesda, MD 20894, Web Policies Instead, we can use the distally based sartorius flap to cover wound defect and finish it in one operation. Salvage of Infected Prosthetic Grafts at the Groin or Thigh Using Muscle Flap Coverage. HHS Vulnerability Disclosure, Help Failure of SM was defined as operative reintervention for bleeding, persistent wound drainage, or infection. The patient is feeling pain in the front of the hip joint while flexing & rotating the joint during walking. The patient healed very rapidly and remains infection free. that are recumbent for long periods as a result A of bilateral pelvic limb or spinal over the greater precord injury are disposed to developing deep wounds troNIMALS chanter pressure points, and some patients develop these lesions despite exhaustive . A small incision was made on the sartorius muscle. A segment of saphenous vein was harvested from the patient medially and the arteriotomy was patched. They describe a technique for the harvest of the sartorius muscle transposition flap that preserves the most proximal pedicle. The free sartorius flap is a useful additional flap choice from the thigh and carries a cutaneous perforator in the majority of cases, allowing a fasciocutaneous perforator flap to be raised. The site is secure. government site. We use the sartorius muscle flap to cover the wound defect. However, the reliability of SM as a primary muscle flap has been questioned. Sartorius Muscle Flaps: Perioperative Outcomes Based on Surgical Specialty. Intra-operative and post-operative images from Dog 1. Am Surg. Interrupted sutures were used to close the muscle over to the gracilis muscle flap. Then, the sartorius muscle was dissected (Figs. to cut is to cure - a vascular surgery blog. Sylvestre AM, Weinstein MJ, Popovitch CA, Brockman DJ. Please enable it to take advantage of the complete set of features! Mathes SJ, Nahai F. Classification of the vascular anatomy of muscles:Experimental and clinical correlation. 5). 1Department of Orthopedics, Faculty of Medicine, Thammasat University, Thailand. 2021 May 11;13(5):e14954. First, a skin incision was done on the muscle alignment. Results. Infrainguinal open reconstruction: a review of surgical considerations and expected outcomes. 8600 Rockville Pike Careers. With the length of sartorius, we can transpose a flap to cover the wound defect with minimal stress of muscle flap. Dumanian GA, Ondra SL, Liu J, Schafer MF, Chao JD. Accessibility The sartorius muscle flap in the cat: an anatomic study and two case reports. Proper technique is essential to ensure flap viability. Epub 2013 Jul 5. Spine (Phila Pa 1976). All complications were minor and were successfully medically managed. A Sartorius muscle elevation; B Sartorius muscle flap for closure after hemipelvectomy. A Cost-Utility Analysis Comparing the Sartorius versus the Rectus Femoris Flap in the Treatment of the Infected Vascular Groin Graft Wound. PDF | Introduction: The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and. The sartorius muscle differences over the other thigh muscle are that the sartorius is supplied by many segmental vessels from the femoral artery which could be considered an advantage [2]. This site needs JavaScript to work properly. Hong JP, Lee HB, Chung YK, Kim SW, Tark KC. Please enable it to take advantage of the complete set of features! Chatterjee A, Kosowski T, Pyfer B, Fisher CS, Tchou JC, Maddali S. Plast Reconstr Surg. Afterward, the sartorius was moved into subcutaneous tunnel and expanded to provide coverage for the wound defect. Careers. The groin wound was then revealed and the graft pulled out (below). Epub 2011 Jan 31. eCollection 2017. Failure of SM occurred in 11 cases (11%). The patient was not septic, but had grown MRSA from the wound which was granulating from the extensive wound care that had been delivered. A retrospective review was performed on all patients who underwent SM from 1997 to 2012. Thesartorius was move dintosubcutaneoustunnelandused to providecoverageforthewounddefect. about anatomical basis for distal sartorius muscle flap for reconstructive surgery below the knee, the mean muscle length was 52.2 cm and has a rich blood supply from many vascular pedicles that come from the femoral artery [8]. about navigating our updated article layout. Epub 2021 Aug 22. The patient was then followed up at out patient department after surgery. Sartorius myoplasty (SM) has been used as an adjunct for soft tissue coverage in vascular groin wound complications. J Vet Med Sci. The flap and graft were survived. From 2005 to 2008, 21 sartorius flaps were performed in infected or threatened femoral wounds. The impact of superficial femoral artery (SFA) occlusion on the outcome of proximal sartorius muscle transposition flaps in vascular surgery patients. J Small Anim Pract. The new PMC design is here! PLoS One. Intra-operative images from Cat 3. It also abducts the thigh and rotates it laterally, as when resting the foot on the opposite knee when sitting. He can ambulate with his own legs without any gait aid. Patel A, Taylor SM, Langan EM 3rd, Snyder BA, Cull DL, Sullivan TM, Youkey JR, Gray BH, Carsten CG 3rd. The large vessels, nerves, and muscles remain intact, and the plain film shows no fracture. Conclusions: PMC Petty CT, Hogue RJ Jr. Closure of an exposed knee joint by use of a sartorius muscle flap:Case report. However, it cannot be used to cover a large wound. A flap positively about the medial third of the sartorius was swung down over the femoral artery. In 2014, Gravvanis et al. 1). From a study of Clavert et al. Complete wound healing occurred in 18 patients (86%). 7). However, for our case, the wound is simple. Introduction: Epub 2021 Jul 8. The purpose of this study is to determine the reliability of SM performed by vascular surgeons in the management of vascular groin wound complications. To protect femoral vessels while preserving the sartorius muscle, we developed a novel sartorius and adductor fascial flap (SAFF) technique for coverage. On examination, he has a large 8 cm wound at the anterior aspect of his left knee on the patellar tendon level. Bethesda, MD 20894, Web Policies 2017 Aug;43:226-231. doi: 10.1016/j.avsg.2017.01.003. CTA shows along with his short segment SFA occlusion which we will treat, a widely patent R. EIA (below). An official website of the United States government. 4). FOIA It avoids having to remove the whole graft which then damages the left side -I have seen other surgeons take this approach elsewhere taking a all-or-nothing approach to graft infection to considerable morbidity to the patient. Le rapport descriptif porte sur une srie de cas rtrospectifs pour 2 chiens et 3 chats. Manushakian HS, Mc Diarmid JG. Our case has a large wound at anterior aspect of knee joint. MeSH A novel internal abdominal oblique muscle flap to close a major abdominal wall defect. Before According to previous study, a distal third of the sartorius has a mean mobile length of 5.6 cm. Demographic data for the patient cohort are listed in Table 1. Clipboard, Search History, and several other advanced features are temporarily unavailable. | Find, read and cite all the research you . Patients who underwent inguinal . It is shown below ex vivo. show knee reconstructive algorithm [3]. eCollection 2017 Apr. The wound was large, and hence, a primary suture cannot be done. However, the reliability of SM as a primary muscle flap has been questioned. Vasc Health Risk Manag. 2021 Jan;62(1):55-58. doi: 10.1111/jsap.13011. sharing sensitive information, make sure youre on a federal On revealing his groin, this is what I saw: A CT scan was sent with the patient but has been lost to time, and it showed a patent aorto-bifemoral bypass send flow around an occluded distal aorta and iliac arteries. Consent: The authors confirm that Informed consent of the patient is taken for publication of this case report, National Library of Medicine (Figs.22 and and3),3), and the proximal set of segmental vessels was identified and ligated. Epub 2019 May 2. Bethesda, MD 20894, Web Policies A Surgeon's Notes. and transmitted securely. When salvage bypass was required, extra-anatomic obturator bypass was performed in 80 per cent of cases. PMC 2011 Apr;53(4):1014-9. doi: 10.1016/j.jvs.2010.11.047. Superficial temporal axial pattern flap for facial reconstruction of skin defects in dogs and cats. HHS Vulnerability Disclosure, Help A Sartorius muscle harvesting from, Intra-operative and post-operative images from Dog 2. It would salvage the remaining graft and avoid a much larger, more intense operation which was plan B. doi: 10.1371/journal.pone.0191497. We report a series of sartorius flaps performed by vascular surgeons in the treatment of complicated femoral wounds. Sartorius transposition (ST) is a technique that has been proposed to minimize morbidity. The three indications for SM were prophylactic, infection, and noninfectious wound complication. Chatterjee A, Kosowski T, Pyfer B, Fisher CS, Tchou JC, Maddali S. Plast Reconstr Surg. The arterial inflow to the groin flap is provided by the superficial circumflex iliac artery (SCIA), a branch off the external iliac/superficial femoral artery at the level of the inguinal ligament. Bookshelf The patient recently came by for his 4 year followup, still smoking, but legs preserved. J Vasc Surg. Careers. The descriptive report involves a retrospective case series for 2 dogs and 3 cats. Perfusion decellularization of a human limb: A novel platform for composite tissue engineering and reconstructive surgery. It is demonstrated that the sartorius muscle flap is a feasible option for the closure of large caudal abdominal wall defects with good return to function in dogs and cats. We use the distally based sartorius flap to cover the wound defect around the knee. They suggest to use the sartorius or other distally based thigh muscle flap such as gracilis to cover a suprapatellar infected wound. 2002 Aug;68(8):653-8; discussion 658-9. FOIA 2022 Jan;78:77-83. doi: 10.1016/j.avsg.2021.05.049. A wounddefectisatananterioraspectof leftknee, size about 8cm thatprimarysuture cannotbedone. Muscle flap salvage of spine wounds with soft tissue defects or infection. Methods: Rotational sartorius flaps were performed to attempt salvage of underlying vascular grafts. 2018 Jan 19;13(1):e0191497. Ann Vasc Surg. 2020 Dec 25;13(4):404-409. doi: 10.3400/avd.oa.20-00123. Afterward, the sartorius was moved into subcutaneous tunnel and used to provide coverage for the wound defect (Fig. and transmitted securely. The sartorius is the longest muscle of the body, and it has been used as a reconstructive flap for many regions such as abdominal wall, groin, thigh, and knee [1, 3, 4, 5, 6, 7]. Abdominal wall defect reconstructions using the sartorius muscle flap were successfully performed in all 5 patients with good return to function. It truly is salvage as it preserves the uninfected graft while never exposing it to the infection in the process of operating. A Sartorius muscle elevation; B Sartorius, Post-operative images from Dog 2. sharing sensitive information, make sure youre on a federal We have reported a case with acute wound injury at the knee following a motorcycle accident. doi: 10.7759/cureus.14954. The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth of the defects. Therefore, the sartorius has greater arc of rotation that easily to rotate a muscle flap to cover the knee joint. The descriptive report involves a retrospective case series for 2 dogs and 3 cats. 8600 Rockville Pike Tanaka K, Mii S, Ishida M, Guntani A, Kawakubo E, Tanaka S, Yoshiga R, Okazaki J. Ann Vasc Dis. The sartorius muscle was mobilized and applied as a flap over this. They used these two-stage procedures to reconstruct a wound, and the result is successful. Half of the patients were men and half were . We report our initial experience with the use of sartorius flaps performed by vascular surgeons for the treatment of complex femoral wounds. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Salvage wound coverage included rectus abdominus flap (60%), rotational flap (20%), and skin grafting (20%).Seventy-three per cent of failures came from the infectious wound group. Hence, the two-stage procedure is not necessary. Obturator bypass: a classic approach for the treatment of contemporary groin infection. The musclef lapwas coveredwithfull-thickness skingraft. Accessibility Signalment, pre-operative clinical signs, location and tumor extent, diagnostic imaging and clinical pathology findings, surgical methods, and complications were recorded. In Mathes and Nahai classification of the vascular anatomy of muscle, sartorius is a Type IV classification [7]. The The patient could return to work after 1 month after the operation. 2007 May;22(2):82-8. doi: 10.1053/j.ctsap.2007.03.009. Clavert P, Cognet JM, Baley S, Stussi D, Prevost P, Babin SR, et al. The patient came back in followup -it has been 4 years since his infection was repaired. He was complaining of short distance claudication. Welcome to Sartorius A Trusted Partner for the Biopharmaceutical Industry and Laboratories Applications Life Science Research Biopharmaceutical Manufacturing Biopharmaceutical QC & Testing Applied Industries All Applications Products Bioreactors | Fermenters Process Filtration Water Purification Weighing All Products Services The https:// ensures that you are connecting to the MeSH Finally, we used the full-thickness skin graft to cover over the muscle flap. Taylor ME, Ngaage LM, Wasicek P, Ha M, Nagarsheth K, Toursavadkohi SA, Karwowski J, Rasko YM. PMC legacy view A Hyperpigmentation and moist desquamation secondary to, MeSH Vacuum-Assisted Incisional Closure Therapy After Groin Reconstruction With Muscle Flap. His wound healed well and remains closed. Compare this to the preop CTA which I found and wasnt available when I posted this case originally: The chronically occluded EIA can be readily seen. Plast Reconstr Surg Glob Open. Hence, we use the sartorius muscle flap to cover the wound defect. The indication for SM was infectious in 62 cases (60%), prophylactic in 21 cases (20%), and noninfectious in the remaining 20 cases. Femoral wound complications can threaten vascular grafts. Necrosis of the muscle flap as a result of interruption of its vascular pedicle can lead to complications that jeopardize the patient's life and limb. 2015 Jun;135(6):1707-1714. doi: 10.1097/PRS.0000000000001267. In some study, the technique of prefabricated, distally based sartorius muscle flap was used for coverage the wound around knee joint [4, 6]. Careers. A Sartorius muscle harvesting from donor site; B Harvested sartorius muscle and planned resection tumor site; C Abdominal wall defect after, Intra-operative and post-operative images from Dog 2. It has 610 segmental pedicle arising from the superficial femoral artery [2]. Unable to load your collection due to an error, Unable to load your delegates due to an error. Gravvanis A, Kyriakopoulos A, Kateros K, Tsoutsos D. Flap reconstruction of the knee:A review of current concepts and a proposed algorithm. One of which includes the local fasciocutaneous flap, a regional muscle flap, and free flap transfer. Results: From 2005 to 2008, 21 sartorius flaps were performed in infected or threatened femoral wounds. Prophylactic Muscle Flaps in Primary Vascular Procedures of the Groin. A Cost-Utility Analysis Comparing the Sartorius versus the Rectus Femoris Flap in the Treatment of the Infected Vascular Groin Graft Wound. Because of the location of wound is in the anterior aspect of the knee, we cannot use the gastrocnemius myocutaneous flap. The sartorius was dissectedfromproximal to distal part. We reviewed a prospective database to determine the outcomes of sartorius flaps on facilitating wound healing and graft salvage and patency. We performed an anatomical study of the vascularisation of the sartorius muscle. official website and that any information you provide is encrypted The Sartorius Muscle crosses the upper third of the thigh obliquely downwards medially and then descends vertically toward its insertion. The graft was mobilized and transected and anastomosed end to side to this segment of artery (below). A primary suture cannot be done to close the wound due to the nature of the large wound (Fig. and transmitted securely. Khalil IM, Sudarsky L. Sartorius muscle twistrotation flap:An answer to flap necrosis. It assists iliacus and psoas major to flex the hip joint. Unable to load your collection due to an error, Unable to load your delegates due to an error. Disclaimer, National Library of Medicine Disclaimer, National Library of Medicine and transmitted securely. I had used this approach on several occasions in the past and twice more recently. Following the transposition, the sartorius remained viable through out its length, and the patient had full post-operativerecovery. Abstract. The purpose of this study is to determine the reliability of SM performed by vascular surgeons in the management of vascular groin wound complications. The range of motion of the knee is also normal (Fig. The .gov means its official. Apfelberg D, Finseth F. Double-muscle gracilis and sartorius myocutaneous flap. A 30-year-old Thai male presented to Thammas at University Hospital with a motorcycle accident. to cut is to cure - a vascular surgery blog, on Salvage: A different approach to graft infections in the groin, Salvage: A different approach to graft infections in the groin. In 2014, Gravvanis et al. Following the debridement, he lost skin and subcutaneous tissue cover of the knee. Wallace AB, Piper ML, Holland M, Lee S, Orringer M, Eichler C, Kim EA, Hansen SL. Sartorius tendonitis: Sartorius muscle Tendonitis give to typically results in pain & limited mobility of the muscle. 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