Abstract

The aim of this presentation is to describe a technique for covering the knee that is not widely used but which can provide fairly reliable solutions in terms of loss of substance, in particular for covering part of knee prosthesis. The neurosural flap with distal pedicle was and remains the gold standard of local flaps for covering loss of substance in the leg and foot, its proximal variant is just as reliable but less widespread due to the simplicity of medial gastrocnemius flap to cover the faces lateral and medial anterior knee.
It differs from the neurosural flap with a distal pedicle in that the pedicle is first under fascia, in the interstice between the gastrocnemius muscles, then at mid-leg it penetrates the fascia, at this moment the pedicle can be injured if the Dissection from distal to proximal is continued flush with the fascia, this makes its removal more delicate than that of the distal variant where the pedicle is always contained between the skin and the fascia.

Keywords: Neurosural Flap; Skin; Fascia

References

1. plast youtube chanel.
2. Atlas des lambeaux de l’appareil locomoteur (Alain Charles Masquelet, Alain Gilbert).
3. Réparations tissulaires à la jambe, de l’os à la peau (Dominique Le Nen, Alain Fabre, Frédéric Dubrana).
4. Lambeaux fasciocutanés de jambe (E. Bey, Val De Grace hospital France).

Citation

Citation: Imed Ghaffour and M Belaid. “Proximal Neurosural Flap, About Cases". Acta Scientific Clinical Case Reports 2.1 (2021): 31-33.

Copyright

Copyright: © 2021 Imed Ghaffour and M Belaid. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.