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Ipsilateral Arteriovenous Loop and Latissimus Dorsi Free Flap for Knee Reconstruction in an Elderly Patient: A Case Report
Luis Parra , Juan Andrés , Manuel Robustillo , Carlos García , Israel Iglesias , Antonio Díaz
Department of Plastic and Reconstructive Surgery, 12 de Octubre University Hospital, Madrid, Spain
Abstract:   (65 Views)
Herein, we report an unusual indication of an arteriovenous (AV) loop with a latissimus dorsi free flap after wound-edge necrosis in a 81 year old patient. The patient underwent multiple revision procedures after total knee arthroplasty and total hip arthroplasty. After a dramatic reduction of femoral bone, a total femoral replacement was performed. The lateral knee incision wound was broke down and the hardware became exposed. Local flaps were not available and a free flap with an ipsilateral AV loop from the great saphenous vein was used to cover the large defect. The functional status of the hip and knee joints was good after 6 months, and enough the patient was able to ambulate without any assistance.  The patient did not show any signs of infection.
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Type of Study: case report | Subject: General
Received: 2017/08/5
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مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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