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Quadriceps tendon reconstruction using a fascia lata included in a reverse‐flow anterolateral thigh flap
Author(s) -
Lucattelli Elena,
Delcroix Luca,
Baldrighi Carla,
Tanini Sara,
Innocenti Marco
Publication year - 2019
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.30420
Subject(s) - medicine , fascia lata , surgery , fascia , thigh , tendon , soft tissue , tendon transfer , debridement (dental) , quadriceps tendon , free flap , anatomy
Quadriceps tendon re‐rupture after surgical repair is an overall estimated 2% complication. We report a case of reconstruction in a large tendon and soft tissue defect using a reverse‐flow anterolateral thigh (ALT) perforator flap including fascia lata in a 75‐year‐old man presented with septic necrosis of a reconstructed quadriceps tendon. A reverse‐flow ALT flap was transferred to the knee defect; the fascia lata was sutured to the residual tendon. Post‐operative flap congestion and infection were successfully treated with debridement and conservative treatment. One year after surgery, the patient was able to fully and actively extend the knee, with an acceptable aesthetic appearance. The reverse‐flow anterolateral thigh flap including fascia lata may be a good option for coverage of soft‐tissue defects around the knee and contemporary quadriceps tendon reconstruction, particularly in case of septic tendon necrosis, where the use of non‐vascularised tissues is contraindicated.