Medial gastrocnemius muscle transferring reconstruction the patella tendon with long following-up
10.3760/cma.j.issn.1001-2036.2010.02.013
- VernacularTitle:带血管蒂腓肠肌内侧头肌瓣转移重建髌腱的长期随访
- Author:
Jin WANG
;
Xianbiao XIE
;
Junqiang YIN
;
Gang HUANG
;
Changye ZOU
;
Haomiao LI
;
Tao YOU
;
Jingnan SHEN
- Publication Type:Journal Article
- Keywords:
Tibia;
Gastrocnemius muscular flap;
Transfer;
Patella tendon
- From:
Chinese Journal of Microsurgery
2010;33(2):122-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the long following-up outcome of the medial gastrocnemius muscle transferring reconstruction the patella tendon after the wide resection of aggressive bone tumors in the proximal tibia. Methods With the 69 patients of the osteogenetic sarcoma in the proximal tibia were treated with the wide resection and reconstruction the patella tendon. After the long following up the knee extensor,function and complications were evaluated. Results With the 69 patients, the 45 survival patients were followed up for the average 68.6 (24-128) months. The local recurrence rate was 8.7%(6/69). The strength of knee extending was in the average of grade 4.2(3.6-5.0), the degree of knee flexion was in the average of 95°(75°-135°), the degree of knee extension was in the average of-2°(0°-12°), the knees of five patients cannot fully extension. The MSTS functional score was in the average of 77% (23.1/30). Conclusion During the limb salvage of the proximal tibial aggressive bone tumors, the medial gastrocnemius muscle transferring reconstruction the patella tendon could offer the knee extension strength; improve the soft tissue coverage and functional results.
