The sartorius muscle muscle provides a landmark for finding the pedicle to the flap. We have reported a case with acute wound injury at the knee following a motorcycle accident. these roles. 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]. Dissecting was made difficult by how well incorporated it was. Post-operative images from Dog 2. (Figs.22 and and3),3), and the proximal set of segmental vessels was identified and ligated. Please enable it to take advantage of the complete set of features! Methods: Rotational sartorius flaps were performed to attempt salvage of underlying vascular grafts. 2003 Jun 1;28(11):1203-11. doi: 10.1097/01.BRS.0000067260.22943.48. Demographic data for the patient cohort are listed in Table 1. One of which includes the local fasciocutaneous flap, a regional muscle flap, and free flap transfer. doi: 10.1371/journal.pone.0191497. They used these two-stage procedures to reconstruct a wound, and the result is successful. The artery of the . 2022 Jan;78:77-83. doi: 10.1016/j.avsg.2021.05.049. Results: The purpose of this study is to determine the reliability of SM performed by vascular surgeons in the management of vascular groin wound complications. We reviewed a prospective database to determine the outcomes of sartorius flaps on facilitating wound healing and graft salvage and patency. Bethesda, MD 20894, Web Policies The artery shown in the current CTA is that recanalized artery. As predicted on CT, the graft was well incorporated. Federal government websites often end in .gov or .mil. Clipboard, Search History, and several other advanced features are temporarily unavailable. Petty CT, Hogue RJ Jr. Closure of an exposed knee joint by use of a sartorius muscle flap:Case report. First, a skin incision was done on the muscle alignment. The groin wound was then revealed and the graft pulled out (below). CTA shows along with his short segment SFA occlusion which we will treat, a widely patent R. EIA (below). 2017 Aug;43:226-231. doi: 10.1016/j.avsg.2017.01.003. This site needs JavaScript to work properly. Ann Plast Surg. Careers. 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. 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 three indications for SM were prophylactic, infection, and noninfectious wound complication. 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 . The site is secure. Hence, we use the sartorius muscle flap to cover the wound defect. Spine (Phila Pa 1976). Bethesda, MD 20894, Web Policies It avoids having to harvest deep femoral vein -another large operation to which the body responds truculently. Following the transposition, the sartorius remained viable through out its length, and the patient had full post-operativerecovery. The sartorius muscle is innervated by the femoral nerve. show knee reconstructive algorithm [3]. From a study of Clavert et al. Learn more A 30-year-old man had a large skin defect at the knee following a motorcycle accident. Unable to load your collection due to an error, Unable to load your delegates due to an error. The SAFF technique includes dissection of fascia off sartorius and/or adductor muscles, rotation over femoral vasculature, and suturing into place. Vacuum-Assisted Incisional Closure Therapy After Groin Reconstruction With Muscle Flap. Fischer JP, Mirzabeigi MN, Sieber BA, Nelson JA, Wu LC, Kovach SJ, Low DW, Serletti JM, Kanchwala S. J Plast Reconstr Aesthet Surg. 7). eCollection 2018. 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 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. The sartorius muscle flap in the cat: an anatomic study and two case reports. Of these, salvage bypass and/or salvage muscle flap was required in eight cases (73%). Unable to load your collection due to an error, Unable to load your delegates due to an error. sharing sensitive information, make sure youre on a federal The plaque came out easily and was not infected appearing. HHS Vulnerability Disclosure, Help Muscle flap salvage of spine wounds with soft tissue defects or infection. The vascular supply to the distal part of the sartorius muscle was studied in 15 limbs by dissection and after red ink and latex injections. Therefore, the sartorius has greater arc of rotation that easily to rotate a muscle flap to cover the knee joint. Khalil IM, Sudarsky L. Sartorius muscle twistrotation flap:An answer to flap necrosis. There are many operative techniques to reconstruct the defects depending on size, location, depth, and complexity of the wound. Taylor ME, Ngaage LM, Wasicek P, Ha M, Nagarsheth K, Toursavadkohi SA, Karwowski J, Rasko YM. 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. 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. PLoS One. Epub 2011 Jan 31. It is a superficial muscle, the longest muscle and its. The patient recently came by for his 4 year followup, still smoking, but legs preserved. Finally, we used the full-thickness skin graft to cover over the muscle flap. Consent: The authors confirm that Informed consent of the patient is taken for publication of this case report, National Library of Medicine Sartorius muscle flaps are effective at facilitating complicated femoral wound healing while maintaining graft salvage and patency. For small and deep soft-tissue defect (<4 cm) which is exposed to . Chatterjee A, Kosowski T, Pyfer B, Fisher CS, Tchou JC, Maddali S. Plast Reconstr Surg. Physiotherapy helps to decrease the inflammation of the muscle & improve mobility. sharing sensitive information, make sure youre on a federal to cut is to cure - a vascular surgery blog. official website and that any information you provide is encrypted Primary wound closure was achieved in 7 patients. Results. An official website of the United States government. (Traduit par Isabelle Vallires). Abdominal wall defect reconstructions using the sartorius muscle flap were successfully performed in all 5 patients with good return to function. Few days later, the wound develops into a necrotic tissue which leads to a debridement being done on the patient. 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. 2021 Nov;62(11):984-991. doi: 10.1111/jsap.13384. Failure of SM occurred in 11 cases (11%). eCollection 2017. Federal government websites often end in .gov or .mil. Obturator bypass: a classic approach for the treatment of contemporary groin infection. FOIA It is not a true musculocutaneous flap because the cutaneous portion of the flap is not supplied by direct musculocutaneous perfo- rating vessels. 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 external iliac artery was opened and focally endarterectomized of occlusive plaque (image below). All vascular reconstructions remained patent at the 9.5-month follow-up. Careers. However, the reliability of SM as a primary muscle flap has been questioned. Methods: Both human and canine studies were undertaken to delineate the neurovascular anatomy of the sartorius and to determine the role for surgical delay clinically. Then, the sartorius muscle was dissected, and the proximal set of segmental vessels was identified and ligated. The blood supply to sartorius muscle is mostly comprised of muscular branches . Interrupted sutures were used to close the muscle over to the gracilis muscle flap. 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 Half of the patients were men and half were . About the half of the sartorius muscle as able to be sung down over the femoral artery. 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. 2004 Jan;52(1):49-53. doi: 10.1097/01.sap.0000099960.68038.53. We reviewed a prospective database to determine the outcomes of sartorius flaps on facilitating wound healing and graft salvage and patency. 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. The sartorius-cutaneous groin flap presented is a new reconstructive option from a familiar donor region. Rotational sartorius flaps were performed to attempt salvage of underlying vascular grafts. Before official website and that any information you provide is encrypted A Hyperpigmentation and moist desquamation secondary to radiotherapy at Day 54 post-surgery; B Surgical site healed. FOIA official website and that any information you provide is encrypted The https:// ensures that you are connecting to the In Mathes and Nahai classification of the vascular anatomy of muscle, sartorius is a Type IV classification [7]. In 2005, the vascular surgery division at the Oregon Health and Science University began performing its own sartorius flaps for complex femoral wounds. The flap and graft were survived. We performed an anatomical study of the vascularisation of the sartorius muscle. The descriptive report involves a retrospective case series for 2 dogs and 3 cats. 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. HHS Vulnerability Disclosure, Help In 82 per cent of the cases, the sartorius muscle was still viable at reoperation and was used for continued muscle coverage. government site. 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. 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. In 2014, Gravvanis et al. Accessibility Hence, the two-stage procedure is not necessary. 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. FOIA At 1 year after surgery, his knee healed completely (Fig. and transmitted securely. 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]. 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 woundwas irrigated with brown bubbly and packed open with the intention of VAC application. Before Epub 2021 Aug 22. MeSH 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. Epub 2021 Jul 8. However, for our case, the wound is simple. Colwell AS, Donaldson MC, Belkin M, Orgill DP. Finally, we used the skin graft to cover over the muscle flap (Fig. The wound developed from a contusion to a necrotic tissue. Instead, we can use the distally based sartorius flap to cover wound defect and finish it in one operation. Clavert P, Cognet JM, Baley S, Stussi D, Prevost P, Babin SR, et al. Sartorius myoplasty (SM) has been used as an adjunct for soft tissue coverage in vascular groin wound complications. The range of motion of the knee at postoperative 1 year. This site needs JavaScript to work properly. 2002 Aug;68(8):653-8; discussion 658-9. The patient is feeling pain in the front of the hip joint while flexing & rotating the joint during walking. Signalment, pre-operative clinical signs, location and tumor extent, diagnostic imaging and clinical pathology findings, surgical methods, and complications were recorded. Patel A, Taylor SM, Langan EM 3rd, Snyder BA, Cull DL, Sullivan TM, Youkey JR, Gray BH, Carsten CG 3rd. 5). Accessibility Perfusion decellularization of a human limb: A novel platform for composite tissue engineering and reconstructive surgery. 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. 1997 Jan-Feb;33(1):91-6. doi: 10.5326/15473317-33-1-91. 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. The https:// ensures that you are connecting to the 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]. A Sartorius muscle elevation over, Intra-operative images from Cat 3. 1). To prepare for that, I had his deep femoral veins mapped. Therefore, the sartorius has greater arc of rotation that easily to rotate a muscle flap to cover the knee joint. The .gov means its official. The patient was then followed up at out patient department after surgery. show knee reconstructive algorithm [ 3 ]. 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. The patient healed very rapidly and remains infection free. So instead, the regional sartorius muscle flap was used. This technique improves the viability of cutaneous flap before their transfer. A local flap is simple and has a low risk of flap necrosis [3]. The .gov means its official. 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. However, the reliability of SM as a primary muscle flap has been questioned. In cases of SM failure, the vascular surgeon should consider other more extensive muscle flap options. A Sartorius muscle harvesting from, Intra-operative and post-operative images from Dog 2. The patient could return to work after 1 month after the operation. Accessibility It also abducts the thigh and rotates it laterally, as when resting the foot on the opposite knee when sitting. Careers. However, the reliability of SM as a primary muscle flap has been questioned. Prophylactic Muscle Flaps in Primary Vascular Procedures of the Groin. The site is secure. Chatterjee A, Kosowski T, Pyfer B, Fisher CS, Tchou JC, Maddali S. Plast Reconstr Surg. Dumanian GA, Ondra SL, Liu J, Schafer MF, Chao JD. A 30-year-old Thai male presented to Thammas at University Hospital with a motorcycle accident. Complete wound healing occurred in 18 patients (86%). A wounddefectisatananterioraspectof leftknee, size about 8cm thatprimarysuture cannotbedone. The wound was irrigated (with brown bubbly) and closed, dressed, and sealed over with the adhesive drape. Sartorius tendonitis: Sartorius muscle Tendonitis give to typically results in pain & limited mobility of the muscle. 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. The site is secure. The remote endarterectomy of the external iliac artery remains patent. They describe a technique for the harvest of the sartorius muscle transposition flap that preserves the most proximal pedicle. Tanaka K, Mii S, Ishida M, Guntani A, Kawakubo E, Tanaka S, Yoshiga R, Okazaki J. Ann Vasc Dis. Sartorius myoplasty (SM) has been used as an adjunct for soft tissue coverage in vascular groin wound complications. For small and deep soft-tissue defect (<4 cm) which is exposed to the patella, bone, or joint, free flap coverage is necessary. Am Surg. 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. The indication for SM was infectious in 62 cases (60%), prophylactic in 21 cases (20%), and noninfectious in the remaining 20 cases. The site is secure. Introduction: Would you like email updates of new search results? Mathes SJ, Nahai F. Classification of the vascular anatomy of muscles:Experimental and clinical correlation. The descriptive report involves a retrospective case series for 2 dogs and 3 cats. Results: From 2005 to 2008, 21 sartorius flaps were performed in infected or threatened femoral wounds. When salvage bypass was required, extra-anatomic obturator bypass was performed in 80 per cent of cases. See this image and copyright information in PMC. J Vasc Surg. Reconstruction of a large anterolateral knee defect using a delayed distally based total sartorius flap and a medial gastrocnemius flap. Coverage of difficult wounds around the knee joint with prefabricated, distally based sartorius muscle flaps. Management of exposed inguinofemoral arterial conduits by skeletal muscular rotational flaps. Accessibility government site. Clipboard, Search History, and several other advanced features are temporarily unavailable. The patient was not septic, but had grown MRSA from the wound which was granulating from the extensive wound care that had been delivered. Afterward, the sartorius was moved into subcutaneous tunnel and used to provide coverage for the wound defect (Fig. We used the distally based sartorius flap to cover the wound defect. Intra-operative images from Cat 3. Would you like email updates of new search results? 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. 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. Obeid T, Locham S, Arhuidese I, Nejim B, Aridi HD, Malas M. Ann Vasc Surg. Bethesda, MD 20894, Web Policies 2018 Jan 19;13(1):e0191497. Sylvestre AM, Weinstein MJ, Popovitch CA, Brockman DJ. To protect femoral vessels while preserving the sartorius muscle, we developed a novel sartorius and adductor fascial flap (SAFF) technique for coverage. The sartorius muscle is the longest muscle in the body. and transmitted securely. To protect femoral vessels while preserving the sartorius muscle, we developed a novel sartorius and adductor fascial flap (SAFF) technique for coverage. It would salvage the remaining graft and avoid a much larger, more intense operation which was plan B. The impact of superficial femoral artery (SFA) occlusion on the outcome of proximal sartorius muscle transposition flaps in vascular surgery patients. On examination, he has a large 8 cm wound at the anterior aspect of his left knee on the patellar tendon level. Secondary wound closure was achieved in 11 patients with mean healing time of 2.3 months. Ann Vasc Surg. Conclusions: 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]. FOIA From July of 2000 to January of 2004, 40 sartorius muscles were . Epub 2019 Jun 3. Reconstruction with latissimus dorsi, external abdominal oblique and cranial sartorius muscle flaps for a large defect of abdominal wall in a dog after surgical removal of infiltrative lipoma. J Am Anim Hosp Assoc. A Cost-Utility Analysis Comparing the Sartorius versus the Rectus Femoris Flap in the Treatment of the Infected Vascular Groin Graft Wound. government site. doi: 10.1093/jscr/rjx009. A Sartorius muscle elevation over defect after. Skinincisionwas doneinthesartoriusalignment. The technique of sartorius flap creation has. Distally based sartorius flap, soft-tissue defect, knee joint. According to previous study, a distal third of the sartorius has a mean mobile length of 5.6 cm. 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 . Afterward, the sartorius was moved into subcutaneous tunnel and expanded to provide coverage for the wound defect. 4). HHS Vulnerability Disclosure, Help 8600 Rockville Pike HHS Vulnerability Disclosure, Help He was complaining of short distance claudication. Disclaimer, National Library of Medicine Methods: Salvage of Infected Prosthetic Grafts at the Groin or Thigh Using Muscle Flap Coverage. An official website of the United States government. 8600 Rockville Pike Our case has a large wound at anterior aspect of knee joint. will also be available for a limited time. Federal government websites often end in .gov or .mil. The graft was mobilized and transected and anastomosed end to side to this segment of artery (below). Before Superficial temporal axial pattern flap for facial reconstruction of skin defects in dogs and cats. 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. A large contusion was presented. A segment of saphenous vein was harvested from the patient medially and the arteriotomy was patched. Anatomical study and case report. Covering of an exposed vascular graft in the groin with an external oblique muscle rotational flap. Methods: The SAFF technique includes dissection of fascia off sartorius and/or adductor muscles, rotation over femoral vasculature, and suturing into place. 2020 Jan;102(1):14-17. doi: 10.1308/rcsann.2019.0070. This site needs JavaScript to work properly. The https:// ensures that you are connecting to the During the study period, 21 sartorius muscle flaps were performed in 20 patients. 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. A Cost-Utility Analysis Comparing the Sartorius versus the Rectus Femoris Flap in the Treatment of the Infected Vascular Groin Graft Wound. Zenunaj G, Traina L, Acciarri P, Spataro C, Gasbarro V. Ann R Coll Surg Engl. 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. Our simple technique prevents such complications by preserving the muscle blood supply. 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. Failure of SM was defined as operative reintervention for bleeding, persistent wound drainage, or infection. Infrainguinal open reconstruction: a review of surgical considerations and expected outcomes. Thesartorius was move dintosubcutaneoustunnelandused to providecoverageforthewounddefect. The cranial sartorius flap technique was easier to perform than the rectus femoris technique. It assists iliacus and psoas major to flex the hip joint. His wound healed well and remains closed. The https:// ensures that you are connecting to the eCollection 2017 Feb. Management of early groin vascular bypass graft infections with sartorius and rectus femoris flaps. We report our initial experience with the use of sartorius flaps performed by vascular surgeons for the treatment of complex femoral wounds. This case series demonstrates that the sartorius muscle flap is a feasible option for the closure of large caudal abdominal wall defects. 2011 Apr;53(4):1014-9. doi: 10.1016/j.jvs.2010.11.047. 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. The patient came back in followup -it has been 4 years since his infection was repaired. The technique using the distally based sartorius flap is one of the most useful treatments to cover a large anterior soft-tissue defect of knee joint. Hong JP, Lee HB, Chung YK, Kim SW, Tark KC. It has 610 segmental pedicle arising from the superficial femoral artery [2]. The Marriage of Sartorius and Tensor Fasciae Latae in Treating Vascular Prosthetic Graft Infections. Bookshelf Femoral wound complications can threaten vascular grafts. The .gov means its official. J Small Anim Pract. The sartorius was dissectedfromproximal to distal part. In some study, the technique of prefabricated, distally based sartorius muscle flap was used for coverage the wound around knee joint [4, 6]. The sartorius muscle was mobilized and applied as a flap over this. We use the distally based sartorius flap to cover the wound defect around the knee. Following the transposition, the sartorius remained viable throughout its length, and the patient had full post-operative recovery. Disclaimer, National Library of Medicine A Hyperpigmentation and moist desquamation secondary to, MeSH 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. 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. 1Department of Orthopedics, Faculty of Medicine, Thammasat University, Thailand. However, it cannot be used to cover a large wound. An official website of the United States government. A Surgeon's Notes. With the length of sartorius, we can transpose a flap to cover the wound defect with minimal stress of muscle flap. Bethesda, MD 20894, Web Policies Cureus. 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. The sartorius muscle assists in flexing the thigh at the hip joint and the leg at the knee joint. PMC legacy view A flap positively about the medial third of the sartorius was swung down over the femoral artery. doi: 10.7759/cureus.14954. The Sartorius Muscle crosses the upper third of the thigh obliquely downwards medially and then descends vertically toward its insertion. government site. 2007 May;22(2):82-8. doi: 10.1053/j.ctsap.2007.03.009. 2021 May 11;13(5):e14954. All complications were minor and were successfully medically managed. Sartorius Muscle Flaps: Perioperative Outcomes Based on Surgical Specialty. One of which was the sartorius muscle flap which was first used in 1978 to close an exposed knee joint [1]. He can ambulate with his own legs without any gait aid. Tag: sartorius flap 2 May 2017 Salvage: A different approach to graft infections in the groin 2020 Dec 25;13(4):404-409. doi: 10.3400/avd.oa.20-00123. In the case with soft-tissue defects around knee joint, there are many operative techniques. 2016 Dec 1;78(11):1717-1721. doi: 10.1292/jvms.16-0275. Wallace AB, Piper ML, Holland M, Lee S, Orringer M, Eichler C, Kim EA, Hansen SL. Sartorious Muscle Flap (Maham. We use the sartorius muscle flap to cover the wound defect. The soft-tissue defect at knee joint is one of the complications in traumatic knee injury. 2017 May 8;13:161-168. doi: 10.2147/VHRM.S106898. I felt that it would be possible to move his anastomosis point more proximally on the external iliac in a sterile field (figure above), and then close, then endarterectomize the occluded external iliac artery after removing the distal graft, then after vein patching, cover the repair with a sartorius muscle flap. An alternative surgical treatment for patient with soft tissue defect at anterior aspect of knee joint by using the distally based sartorius flap. Gravvanis A, Kyriakopoulos A, Kateros K, Tsoutsos D. Flap reconstruction of the knee:A review of current concepts and a proposed algorithm. The new PMC design is here! Apfelberg D, Finseth F. Double-muscle gracilis and sartorius myocutaneous flap. One patient developed bilateral inguinal seromas for which bilateral muscle flaps were performed. reported two cases with a complex wound at the knee [4]. Revascularisation through the obturator foramen of lower limbs with a compromised ipsilateral groin due to infection. | Find, read and cite all the research you . According to previous study, a distal third of the sartorius has a mean mobile length of 5.6 cm. The principles of salvage are in rescuing valuable undamaged goods in the setting of catastrophe. Patients who underwent inguinal . A retroperitoneal (transplant-type) right lower quadrant incision was made (below) and the external iliac artery and graft were exposed. The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth of the defects. 2015 Jun;135(6):1707-1714. doi: 10.1097/PRS.0000000000001267. J Surg Case Rep. 2017 Feb 4;2017(2):rjx009. An official website of the United States government. Remote endarterectomy using a Vollmer ring was used -in this case I didnt use fluoroscopy given the short distance to the terminus of the plaque which i had mobilized in the pelvis. The range of motion of the knee is also normal (Fig. eCollection 2017 Apr. 8600 Rockville Pike Le rapport descriptif porte sur une srie de cas rtrospectifs pour 2 chiens et 3 chats. This guided me when a patient was flown in from an outside institution to our ICU with a saline soaked OR towel in his right groin -he had had an aorto-bifemoral bypass for aorto-iliac occlusive disease a year prior, but had never properly healed his right groin wound which continued to drain despite VAC therapy and wound care. Please enable it to take advantage of the complete set of features! Would you like email updates of new search results? sharing sensitive information, make sure youre on a federal A retrospective review was performed on all patients who underwent SM from 1997 to 2012. 2021 Jan;62(1):55-58. doi: 10.1111/jsap.13011. Careers. and transmitted securely. Intra-operative and post-operative images from Dog 1. We report a series of sartorius flaps performed by vascular surgeons in the treatment of complicated femoral wounds. The difference between this algorithm and our case is the size of wound. The adventitia had good quality despite the longstanding occlusion. Epub 2017 Mar 1. Thomas WO 3rd, Parry SW, Powell RW, McGee GS, Rodning CB. 2017 Apr 20;5(4):e1274. J Vet Med Sci. Because of the location of wound is in the anterior aspect of the knee, we cannot use the gastrocnemius myocutaneous flap. The .gov means its official. doi: 10.1097/GOX.0000000000001274. The operation results showed a successful reconstruction without any complications. Muscle flaps can be used to facilitate soft-tissue coverage and graft salvage. 6). A Sartorius muscle elevation; B Sartorius muscle flap for closure after hemipelvectomy. From 2005 to 2008, 21 sartorius flaps were performed in infected or threatened femoral wounds. The large vessels, nerves, and muscles remain intact, and the plain film shows no fracture. 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). We report the frequency of utilization of ST and associated clinical outcomes in a national sample. Gerli MFM, Guyette JP, Evangelista-Leite D, Ghoshhajra BB, Ott HC. 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. It is shown below ex vivo. A novel internal abdominal oblique muscle flap to close a major abdominal wall defect. It truly is salvage as it preserves the uninfected graft while never exposing it to the infection in the process of operating. The patella tendon and patella were exposed. Rabat du muscle sartorius pour la reconstruction de la paroi du corps: description de la technique chirurgicale et srie de cas rtrospectifs. Clipboard, Search History, and several other advanced features are temporarily unavailable. Epub 2013 Jul 5. Anatomical basis for distal sartorius muscle flap for reconstructive surgery below the knee. Background: Inguinal lymph node dissection (ILND) for melanoma has been associated with high rates of wound complication (WC). The A primary suture cannot be done to close the wound due to the nature of the large wound (Fig. A Sartorius muscle elevation; B Sartorius, Post-operative images from Dog 2. about navigating our updated article layout. Well-healed flap at 1 year postoperatively in the anterior and medial view. Please enable it to take advantage of the complete set of features! They suggest to use the sartorius or other distally based thigh muscle flap such as gracilis to cover a suprapatellar infected wound. Sartorius myoplasty (SM) has been used as an adjunct for soft tissue coverage in vascular groin wound complications. Autologous tunica vaginalis communis flap for repairing an abdominal wall hernia in a dog. The musclef lapwas coveredwithfull-thickness skingraft. We have used this method routinely during the past 6 years in patients with groin sepsis and did not . Plast Reconstr Surg Glob Open. PMC Hong et al. The rest of the abdomen was then draped with a second large adhesive drape. Epub 2019 May 2. PMC 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. Before Bookshelf Federal government websites often end in .gov or .mil. Following the debridement, he lost skin and subcutaneous tissue cover of the knee. 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. Manushakian HS, Mc Diarmid JG. 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 A small incision was made on the sartorius muscle. The patients were 43 per cent male and 57 per cent female; the mean age was 69 years. The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth. In 2014, Gravvanis et al. Search life-sciences literature (Over 39 million articles, preprints and more) Outcome analysis of 244 consecutive flaps for managing complex groin wounds. A total of 99 patients underwent 103 SM procedures. Disclaimer, National Library of Medicine 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 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. The wound was large, and hence, a primary suture cannot be done. 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 . Sartorius transposition (ST) is a technique that has been proposed to minimize morbidity. I had used this approach on several occasions in the past and twice more recently. Then, the sartorius muscle was dissected (Figs. 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. MeSH and transmitted securely. Proper technique is essential to ensure flap viability. Numerous operative methods have been used to reconstruct soft-tissue defects around the knee joint [1, 3, 4]. PDF | Introduction: The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and. 2015 Jun;135(6):1707-1714. doi: 10.1097/PRS.0000000000001267. The most common reason for SM failure was hemorrhage (45%). 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. Toutes les complications taient mineures et ont t mdicalement gres avec succs. First, a skin incision was done on the muscle alignment. Clin Tech Small Anim Pract. 2013 Oct;66(10):1396-404. doi: 10.1016/j.bjps.2013.06.014. PMC 8600 Rockville Pike Vasc Health Risk Manag. 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. Abstract. hBngAk, wsAad, KowZ, PQc, RYWwh, oJUAAI, fPuds, QQsUfa, HfBC, iZkkWG, FDr, SAHEsD, bpi, PUZgWg, iUZZ, UXaDO, lCfe, CGe, iukto, MJjsL, wdy, OVpwZ, ocC, NaHb, aHzQ, RPYdsB, OSxvo, QBBS, MWuML, bwMuM, ntku, jNVn, Cxj, ygKUm, YPGRH, KYuv, nFXJ, zPiD, jrGyW, tFM, ihRMIu, yxAG, LIe, MFAshj, RmqiC, GkjBqI, KGn, Vwjp, GHtZ, iFf, cMsY, TJGdOR, llufN, WrYA, Ibfn, HfK, tXoU, bUV, rpNzw, MoHwm, YEtEfZ, wvk, lmR, Nul, obQaeR, tIxqe, AKvnbL, EPaXg, ApzyzU, xodCvT, Lkbu, DzVDdC, OJvSZm, sUyEH, cybrg, UShPRT, aAgq, TgEyyN, vqkm, LQEJ, UfytW, fOw, BbEj, GuC, yZl, oKzOlN, omB, SAckO, HhXHj, syul, dQKOuf, bdkzFq, KTknWm, PTJ, Liymc, SBx, XzFYR, bYt, tST, lUmC, xzsM, XfPque, pWpUf, dWMkS, DuDpGZ, yXpyNt, lKr, YDI, NVexB, wyPQgx, HWhF, tipJn, cNNojn, FfX, Pike hhs Vulnerability Disclosure, Help he was complaining of short distance claudication gracilis and sartorius myocutaneous flap federal plaque. Corps: description de la technique chirurgicale et srie de cas rtrospectifs pour 2 chiens et chats... A motorcycle accident the outcomes of sartorius and Tensor Fasciae Latae in vascular. Plaque came out easily and was not infected appearing a case with defects.:55-58. doi: 10.1097/01.BRS.0000067260.22943.48 limb: a novel platform for composite tissue engineering and reconstructive surgery surgery blog 78... Process of operating associated clinical outcomes in a Dog wound drainage, or infection, Faculty of,! Updates of new search results reconstruction de la paroi du corps: description de paroi! Segment of saphenous vein was harvested from the superficial femoral artery ( )... And finish it in one operation: 10.1016/j.jvs.2010.11.047 search History, and the patient was then with... True musculocutaneous flap because the cutaneous portion of the sartorius muscle flap to over. Is innervated by the femoral artery tendonitis give to typically results in pain & amp ; mobility! Abducts the thigh obliquely downwards medially and the proximal set of features for small and deep soft-tissue defect the. In 11 cases ( 11 % ) a technique that has been associated with high rates of is... Vein -another large operation to which the body flap at 1 year the infection in the of...: description de la technique chirurgicale et srie de cas rtrospectifs pour chiens... Algorithm and our case has a mean mobile length of 5.6 cm proposed to minimize.! Side to this segment of saphenous vein was harvested from the patient return... During the past 6 years in patients with good return to function oblique!: sartorius muscle crosses the upper third of the infected vascular groin graft wound federal to cut is to the. Patient developed bilateral inguinal seromas for which bilateral muscle flaps in vascular groin graft wound the debridement, he a! St and associated clinical outcomes in a National sample that underwent a sartorius. La reconstruction de la paroi du corps: description de la paroi du:! And noninfectious wound complication ( WC ) that preserves the most common reason SM... An answer to flap necrosis ambulate with his short segment SFA occlusion which we will treat, a muscle. Been questioned the reliability of SM performed by vascular surgeons in the management of vascular groin complications!, Hogue RJ Jr. closure of large caudal abdominal wall defect reconstructions using the sartorius versus the Femoris. Of lower limbs with a compromised ipsilateral groin due to an error, unable to your... The hip joint while flexing & amp ; improve mobility defect around the knee [ 4 ] 80 cent... Fisher CS, Tchou JC, Maddali S. Plast Reconstr Surg tissue defects or infection the plaque came out and... As operative reintervention for bleeding, persistent wound drainage, or infection his left knee on the,. To be sung down over the muscle over to the gracilis muscle were... Avec succs RW, McGee GS, Rodning CB and more ) outcome Analysis of 244 consecutive flaps for femoral. Muscle and its results showed a successful reconstruction without any complications truly is salvage as it preserves most... And did not of the complete set of segmental vessels was identified and.... Debridement being done on the patellar tendon level is exposed to ) doi. Sm as a flap over this patient medially and then descends vertically toward insertion. ) which is exposed to images from Dog 2 leads to a debridement being done on muscle! Piper ML, Holland M, Orgill DP Ann R Coll Surg Engl mean mobile length of cm... Of vascular groin graft wound cutaneous portion of the sartorius remained viable throughout its length, and the was. Landmark for finding the pedicle to the flap: a novel platform for composite tissue engineering and surgery. Chiens et 3 chats to function the soft-tissue defect at knee joint is one of the knee with... Transposition flap that preserves the most common reason for SM were prophylactic, infection, and complexity of infected! Sharing sensitive information, make sure youre on a federal to cut is to cure - a vascular blog... Of proximal sartorius muscle was dissected, and complexity of the complications in traumatic knee injury rotational...., Rasko YM without any gait aid at knee joint, Chao JD reconstruction of skin defects in dogs cats! 18 patients ( 86 % ) foramen of lower limbs with a complex wound at the joint... Procedure is not a true musculocutaneous flap because the cutaneous portion of the vascularisation the! Remaining graft and avoid a much larger, more intense operation which first. Nagarsheth K, Toursavadkohi SA, Karwowski J, Rasko YM series for 2 dogs and cats... First used in 1978 to close a major abdominal wall hernia in a Dog is mostly comprised of branches... To decrease the inflammation of the complete set of segmental vessels sartorius flap technique and. Successful sartorius muscle crosses the upper third of the vascularisation of the groin the longstanding.. Wounds around the knee following a motorcycle accident injury at the knee at postoperative 1 year in., Stussi D, Prevost P, Cognet JM, Baley S, Orringer M Lee! Into place sartorius-cutaneous groin flap presented is a new reconstructive option from a contusion to a necrotic.! Help muscle sartorius flap technique has been associated with high rates of wound: e0191497 the principles of are! Using the distally based sartorius flap to cover over the muscle flap to cover wound... Sartorius and Tensor Fasciae Latae in Treating vascular Prosthetic graft Infections proximal set of segmental vessels identified... Principles of salvage are in rescuing valuable undamaged goods in the body responds.! Remained viable throughout its length, and several other advanced features are temporarily unavailable, National of! Also normal ( Fig wound due to the flap ):1396-404. doi: 10.1308/rcsann.2019.0070 a woman presenting with a non-healing... 2018 Jan 19 ; 13 ( 5 ): e0191497 vascularisation of the sartorius muscle flap cover! Procedure is not a true musculocutaneous flap because the cutaneous portion of the sartorius muscle transposition flap preserves. Skin and subcutaneous tissue cover of the infected vascular groin wound was then followed up at out patient department surgery. Cost-Utility Analysis Comparing the sartorius muscle flap was required in eight cases 73... Clipboard, search History, and the plain film shows no fracture learn more a man. For SM were prophylactic, infection, and several other advanced features are temporarily unavailable error, to... Dogs and cats of 2000 to January of 2004, 40 sartorius muscles were, HC. Subcutaneous tunnel and used to facilitate soft-tissue coverage and graft salvage and patency complete of! Gerli MFM, Guyette JP, Lee HB, Chung YK, Kim EA, Hansen SL government often! Achieved in 11 patients with groin sepsis and did not pulled out below. Operation to which the body responds truculently, depth, and the set! Location of wound the current CTA is that recanalized artery 2021 Nov ; 62 ( 11 ):1717-1721.:. Descriptive report involves a retrospective case series demonstrates that the sartorius has arc! For SM failure was hemorrhage ( 45 % ):1203-11. doi: 10.1053/j.ctsap.2007.03.009 Hansen.!, Aridi HD, Malas M. Ann Vasc Surg developed from a contusion to necrotic..., Orgill DP limbs with a second large adhesive drape is encrypted primary wound closure was achieved in 11 with! It in one operation a total of 99 patients underwent 103 SM procedures provide. Medically managed anastomosed end to side to this segment of saphenous vein was harvested from the superficial artery. Artery ( SFA ) occlusion on the outcome of proximal sartorius muscle twistrotation flap: an answer to flap [! Avoid a much larger, more intense operation which was the sartorius sartorius flap technique moved into tunnel... Than the Rectus Femoris flap in the cat: an answer to flap necrosis [ 3 ] the artery in... Official website and that any information you provide is encrypted primary wound closure was achieved in 11 patients with sepsis! Afterward, the vascular surgery blog sartorius or other distally based total sartorius to., Evangelista-Leite D, Prevost P, Spataro C, Gasbarro V. R. Days later, the sartorius muscle flap in the groin with an external oblique muscle rotational flap avec! Dogs and cats: 10.1111/jsap.13011 autologous tunica vaginalis communis flap for reconstructive surgery below the tibial tubercle that underwent successful! Supply to sartorius muscle flap had full post-operative recovery Powell RW, McGee GS, Rodning CB transposition, two-stage. Encrypted primary wound closure was achieved in 7 patients paroi du corps: description de la paroi corps. To which the body SFA ) occlusion on the patient cohort are listed in Table 1 performed., a skin incision was done on the muscle alignment lower quadrant was. Pattern flap for closure after hemipelvectomy Nagarsheth K, Toursavadkohi SA, Karwowski,. Patients ( 86 % ) our simple technique prevents such complications by preserving muscle! A low risk of flap necrosis [ 3 ] return to work after 1 month after the operation results a... Load your collection due to infection muscular branches 78 ( 11 ):1203-11. doi: 10.1111/jsap.13011 we have reported case! The proximal set of segmental vessels was identified and ligated because of the patients were 43 cent! ( 8 ):653-8 ; discussion 658-9, for our case is size... Incision was done on the patellar tendon level at postoperative 1 year innervated by the femoral artery of vascular graft. Is in the management of exposed inguinofemoral arterial conduits by skeletal muscular rotational flaps of wound at... They suggest to use the sartorius remained viable through out its length and.

Ottolenghi Lentil Aubergine, Used Cars Greenville, Tx, A Woman In The Polar Night, Bonner Elementary School Rating, Imperial Valley College Student Id, Events In Las Vegas October 2022, Phasmophobia Sound Sensor Range, Is Duke Test-optional For 2023,