What is a muscle flap?
The muscle flap uses only muscle for defect coverage. It is used primarily to provide a well-vascularized soft tissue that is relatively resistant to infection, helps wounds heal, and offers a vascularized surface for skin grafts. The muscle flap is commonly used to eradicate infection and to revascularize bone.
Does gastrocnemius flex knee?
The gastrocnemius is a biarticular muscle that acts not only as a plantar flexor, but also as a knee flexor, meaning that it is an antagonist during knee extension.
What is the gastrocnemius soleus?
The gastrocnemius goes down the back of the leg and attaches to the Achilles tendon. Gastrocnemius strains are common because the muscle connects to two joints (the knee joint and the ankle joint). Soleus: The soleus is a wide, flat muscle that sits slightly deeper than the gastrocnemius.
What is the origin and insertion of gastrocnemius?
gastrocnemius muscle, also called leg triceps, large posterior muscle of the calf of the leg. It originates at the back of the femur (thighbone) and patella (kneecap) and, joining the soleus (another muscle of the calf), is attached to the Achilles tendon at the heel.
How long does a muscle flap take to heal?
It takes approximately two months for swelling and bruising to go away and up to two years for tissues to heal. Patients should plan to wear a surgical bra for six to eight weeks and to refrain from heavy exercise and certain sexual activities during this time.
How do you make a gastrocnemius flap?
Go to:
- Step 1: Patient Positioning.
- Step 2: Revision Arthroplasty for Infection.
- Step 3: Incision and Approach for the Medial Gastrocnemius Flap.
- Step 4: Elevation of the Medial Gastrocnemius Flap.
- Step 5: Transposition and Insetting of the Flap Over the Defect.
- Step 6: Closure, Skin-Grafting, and Dressing Application.
What is gastrocnemius recession?
Background: Gastrocnemius recession is a surgical technique commonly performed on individuals who suffer from symptoms related to the restricted ankle dorsiflexion that results when tight superficial posterior compartment musculature causes an equinus contracture.
What is a gastrocnemius tear?
A gastrocnemius muscle tear is a severe, sudden injury to your calf muscle. This muscle helps flex the lower leg. It also helps you do quick movements, such as jumping and sprinting. An injury to this muscle is sometimes called “tennis leg.”
What does soleus pain feel like?
Soleus strains also tend to be less dramatic in clinical presentation and more subacute when compared to injuries of the gastrocnemius. The classic presentation is of calf tightness, stiffness, and pain that worsen over days to weeks. Walking or jogging tends to provoke symptoms [3].
Why is the gastrocnemius important?
The gastrocnemius muscle is an important mover of your lower leg and is responsible for normal walking and running actions. The gastrocnemius joins the soleus to form the Achilles tendon, the large tendon that attaches to your heel bone.
Is flap surgery a major surgery?
Flap surgery is a technique in plastic and reconstructive surgery where any type of tissue is lifted from a donor site and moved to a recipient site with an intact blood supply….Flap (surgery)
| Flap surgery | |
|---|---|
| ICD-9-CM | 86.7 |
Does flap surgery hurt?
Most patients experience some discomfort after a flap procedure. Depending on your needs, we may prescribe pain medication or recommend over-the-counter medicine. It is important to relax after surgery, as strenuous activity may cause the treated area to bleed.
What is the gastrocnemius flap?
As is the latissimus dorsi flap for the upper limb, the gastrocnemius is the mainstay of the armamentarium of flaps that can be used for lower extremity reconstructions and should be known by surgeons in orthopedic and plastic surgery.
What is a medial gastroc muscle flap?
A muscle flap. Usually not used as a free flap. Microsurgery can augment medial gastroc use as a local flap by extending the reach of the muscle.
What are your thoughts about the flap design of the calf?
General Thoughts About Flap Design The skin over the calf can be harvested in its entirety, encompassing the entire width of the calf and from the popliteal fossa to approximately 10 cm past the distal end of the muscle bellies. In order to close the defect primarily, <6 cm of skin can be included.
When is the leash of the gastric flap extended with microvascular surgery?
If the medial gastroc cannot reach the recipient defect without excessive tension, or if the dead space cannot be obliterated adequately, the leash of the flap can be extended with microvascular surgery.