The medial sural artery as recipient vessel and the impact on the medial gastrocnemius

Microsurgical free tissue transfer is a valuable technique for the reconstruction of soft-tissue defects around the knee, and the medial sural artery (MSA) is an ideal recipient vessel for anastomosis. Previously, the vessel has been described as the dominant supply to the medial gastrocnemius, but...

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Published inAnnals of plastic surgery Vol. 67; no. 4; p. 382
Main Authors Beumer, Jesse D, Karoo, Richard, Caplash, Yugesh, Semmler, John G, Taylor, Jamie
Format Journal Article
LanguageEnglish
Published United States 01.10.2011
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Abstract Microsurgical free tissue transfer is a valuable technique for the reconstruction of soft-tissue defects around the knee, and the medial sural artery (MSA) is an ideal recipient vessel for anastomosis. Previously, the vessel has been described as the dominant supply to the medial gastrocnemius, but no research has addressed the subsequent effect to the muscle after interruption of MSA. The volume of the postoperative medial gastrocnemius of 4 patients treated with free flap reconstruction using MSA as recipient, was assessed clinically and using magnetic resonance imaging, with muscle function assessed using a patient questionnaire, and measurement of ankle torque with concurrent electromyography. Magnetic resonance imaging volume assessment revealed the postoperative medial head of gastrocnemius proportional to its synergist of separate blood supply, the lateral gastrocnemius and functional assessment suggest little difference between limbs such that the MSA should be used with confidence as recipient vessel for free flap reconstruction of soft-tissue defects around the knee.
AbstractList Microsurgical free tissue transfer is a valuable technique for the reconstruction of soft-tissue defects around the knee, and the medial sural artery (MSA) is an ideal recipient vessel for anastomosis. Previously, the vessel has been described as the dominant supply to the medial gastrocnemius, but no research has addressed the subsequent effect to the muscle after interruption of MSA. The volume of the postoperative medial gastrocnemius of 4 patients treated with free flap reconstruction using MSA as recipient, was assessed clinically and using magnetic resonance imaging, with muscle function assessed using a patient questionnaire, and measurement of ankle torque with concurrent electromyography. Magnetic resonance imaging volume assessment revealed the postoperative medial head of gastrocnemius proportional to its synergist of separate blood supply, the lateral gastrocnemius and functional assessment suggest little difference between limbs such that the MSA should be used with confidence as recipient vessel for free flap reconstruction of soft-tissue defects around the knee.
Author Karoo, Richard
Taylor, Jamie
Semmler, John G
Beumer, Jesse D
Caplash, Yugesh
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/21540727$$D View this record in MEDLINE/PubMed
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Snippet Microsurgical free tissue transfer is a valuable technique for the reconstruction of soft-tissue defects around the knee, and the medial sural artery (MSA) is...
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StartPage 382
SubjectTerms Adult
Anastomosis, Surgical
Arteries - surgery
Follow-Up Studies
Free Tissue Flaps
Humans
Knee Injuries - surgery
Leg - blood supply
Leg Injuries - surgery
Male
Microsurgery - methods
Middle Aged
Muscle Strength
Muscle, Skeletal - blood supply
Muscle, Skeletal - physiology
Patient Satisfaction
Range of Motion, Articular
Reconstructive Surgical Procedures - methods
Recovery of Function
Soft Tissue Injuries - surgery
Surveys and Questionnaires
Treatment Outcome
Title The medial sural artery as recipient vessel and the impact on the medial gastrocnemius
URI https://www.ncbi.nlm.nih.gov/pubmed/21540727
Volume 67
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