The pediculated gastrocnemius muscle flap as a treatment for soft tissue problems of the knee – indication, placement and results

Boris Moebius & Eike Eric Scheller
With the increase of endoprosthetic knee replacements, there is also an increase of critical wounds to the knee due to a high incidence of soft tissue problems (ranging from wound healing defects to severe wound infections). The literature describes a general rate of soft tissue complications of up to 20% [ref:1], [ref:2], with 5% [ref:3] involving exposed bone. These complications are an increasingly important problem for surgeons. Since sufficient coverage of bones, tendons and prosthetic...