Would you like email updates of new search results? The .gov means its official. A retrospective review was performed on all patients who underwent SM from 1997 to 2012. 2017 May 8;13:161-168. doi: 10.2147/VHRM.S106898. 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. It truly is salvage as it preserves the uninfected graft while never exposing it to the infection in the process of operating. 7). The most common reason for SM failure was hemorrhage (45%). The .gov means its official. We report a series of sartorius flaps performed by vascular surgeons in the treatment of complicated femoral wounds. 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. Epub 2019 May 2. A segment of saphenous vein was harvested from the patient medially and the arteriotomy was patched. In Mathes and Nahai classification of the vascular anatomy of muscle, sartorius is a Type IV classification [7]. Colwell AS, Donaldson MC, Belkin M, Orgill DP. The Sartorius Muscle crosses the upper third of the thigh obliquely downwards medially and then descends vertically toward its insertion. 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 official website and that any information you provide is encrypted Hong et al. PDF | Introduction: The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and. We report our initial experience with the use of sartorius flaps performed by vascular surgeons for the treatment of complex femoral wounds. We performed an anatomical study of the vascularisation of the sartorius muscle. Reconstruction of a large anterolateral knee defect using a delayed distally based total sartorius flap and a medial gastrocnemius flap. He was complaining of short distance claudication. The descriptive report involves a retrospective case series for 2 dogs and 3 cats. Dissecting was made difficult by how well incorporated it was. sharing sensitive information, make sure youre on a federal Methods: Rotational sartorius flaps were performed to attempt salvage of underlying vascular grafts. On examination, he has a large 8 cm wound at the anterior aspect of his left knee on the patellar tendon level. Bookshelf 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. Patients who underwent inguinal . Salvage of Infected Prosthetic Grafts at the Groin or Thigh Using Muscle Flap Coverage. The site is secure. Following the transposition, the sartorius remained viable throughout its length, and the patient had full post-operative recovery. 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. MeSH It also abducts the thigh and rotates it laterally, as when resting the foot on the opposite knee when sitting. 2015 Jun;135(6):1707-1714. doi: 10.1097/PRS.0000000000001267. sharing sensitive information, make sure youre on a federal Afterward, the sartorius was moved into subcutaneous tunnel and used to provide coverage for the wound defect (Fig. eCollection 2017 Apr. 8600 Rockville Pike Outcome analysis of 244 consecutive flaps for managing complex groin wounds. 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. (Traduit par Isabelle Vallires). The https:// ensures that you are connecting to the Search life-sciences literature (Over 39 million articles, preprints and more) Our case has a large wound at anterior aspect of knee joint. A large contusion was presented. This site needs JavaScript to work properly. A Sartorius muscle harvesting from, Intra-operative and post-operative images from Dog 2. One patient developed bilateral inguinal seromas for which bilateral muscle flaps were performed. Distally based sartorius flap, soft-tissue defect, knee joint. We have used this method routinely during the past 6 years in patients with groin sepsis and did not . Epub 2017 Mar 1. Perfusion decellularization of a human limb: A novel platform for composite tissue engineering and reconstructive surgery. Epub 2021 Jul 8. these roles. Chatterjee A, Kosowski T, Pyfer B, Fisher CS, Tchou JC, Maddali S. Plast Reconstr Surg. sharing sensitive information, make sure youre on a federal 2011 Apr;53(4):1014-9. doi: 10.1016/j.jvs.2010.11.047. will also be available for a limited time. All vascular reconstructions remained patent at the 9.5-month follow-up. It is shown below ex vivo. Therefore, the sartorius has greater arc of rotation that easily to rotate a muscle flap to cover the knee joint. The patient came back in followup -it has been 4 years since his infection was repaired. His wound healed well and remains closed. Taylor ME, Ngaage LM, Wasicek P, Ha M, Nagarsheth K, Toursavadkohi SA, Karwowski J, Rasko YM. 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. The sartorius-cutaneous groin flap presented is a new reconstructive option from a familiar donor region. Federal government websites often end in .gov or .mil. Anatomical study and case report. 2021 Jan;62(1):55-58. doi: 10.1111/jsap.13011. Patel A, Taylor SM, Langan EM 3rd, Snyder BA, Cull DL, Sullivan TM, Youkey JR, Gray BH, Carsten CG 3rd. Unable to load your collection due to an error, Unable to load your delegates due to an error. Hence, the two-stage procedure is not necessary. 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). It assists iliacus and psoas major to flex the hip joint. 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. Bookshelf The blood supply to sartorius muscle is mostly comprised of muscular branches . A wounddefectisatananterioraspectof leftknee, size about 8cm thatprimarysuture cannotbedone. Would you like email updates of new search results? 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. Post-operative images from Dog 2. 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. He can ambulate with his own legs without any gait aid. A retroperitoneal (transplant-type) right lower quadrant incision was made (below) and the external iliac artery and graft were exposed. Signalment, pre-operative clinical signs, location and tumor extent, diagnostic imaging and clinical pathology findings, surgical methods, and complications were recorded. doi: 10.7759/cureus.14954. A novel internal abdominal oblique muscle flap to close a major abdominal wall defect. Thesartorius was move dintosubcutaneoustunnelandused to providecoverageforthewounddefect. Sartorious Muscle Flap (Maham. The https:// ensures that you are connecting to the Before The .gov means its official. reported two cases with a complex wound at the knee [4]. About the half of the sartorius muscle as able to be sung down over the femoral artery. This site needs JavaScript to work properly. This case series demonstrates that the sartorius muscle flap is a feasible option for the closure of large caudal abdominal wall defects. Disclaimer, National Library of Medicine A Hyperpigmentation and moist desquamation secondary to, MeSH The impact of superficial femoral artery (SFA) occlusion on the outcome of proximal sartorius muscle transposition flaps in vascular surgery patients. Of these, salvage bypass and/or salvage muscle flap was required in eight cases (73%). According to previous study, a distal third of the sartorius has a mean mobile length of 5.6 cm. In 2014, Gravvanis et al. Results: From 2005 to 2008, 21 sartorius flaps were performed in infected or threatened femoral wounds. Clipboard, Search History, and several other advanced features are temporarily unavailable. The purpose of this study is to determine the reliability of SM performed by vascular surgeons in the management of vascular groin wound complications. A Surgeon's Notes. Hong JP, Lee HB, Chung YK, Kim SW, Tark KC. Manushakian HS, Mc Diarmid JG. J Surg Case Rep. 2017 Feb 4;2017(2):rjx009. 2017 Apr 20;5(4):e1274. The sartorius was dissectedfromproximal to distal part. The adventitia had good quality despite the longstanding occlusion. Careers. 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 . PMC show knee reconstructive algorithm [ 3 ]. PLoS One. Clin Tech Small Anim Pract. The site is secure. The site is secure. J Small Anim Pract. The sartorius muscle flap in the cat: an anatomic study and two case reports. 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. 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]. PMC Sartorius Muscle Flaps: Perioperative Outcomes Based on Surgical Specialty. However, it cannot be used to cover a large wound. The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth. Introduction: 2022 Jan;78:77-83. doi: 10.1016/j.avsg.2021.05.049. The descriptive report involves a retrospective case series for 2 dogs and 3 cats. Finally, we used the full-thickness skin graft to cover over the muscle flap. The wound was large, and hence, a primary suture cannot be done. Chatterjee A, Kosowski T, Pyfer B, Fisher CS, Tchou JC, Maddali S. Plast Reconstr Surg. The plaque came out easily and was not infected appearing. 8600 Rockville Pike 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. Revascularisation through the obturator foramen of lower limbs with a compromised ipsilateral groin due to infection. The For small and deep soft-tissue defect (<4 cm) which is exposed to . It would salvage the remaining graft and avoid a much larger, more intense operation which was plan B. doi: 10.1371/journal.pone.0191497. Failure of SM occurred in 11 cases (11%). eCollection 2018. Sartorius myoplasty (SM) has been used as an adjunct for soft tissue coverage in vascular groin wound complications. Well-healed flap at 1 year postoperatively in the anterior and medial view. Results. Le rapport descriptif porte sur une srie de cas rtrospectifs pour 2 chiens et 3 chats. Khalil IM, Sudarsky L. Sartorius muscle twistrotation flap:An answer to flap necrosis. For small and deep soft-tissue defect (<4 cm) which is exposed to the patella, bone, or joint, free flap coverage is necessary. The purpose of this study is to determine the reliability of SM performed by vascular surgeons in the management of vascular groin wound complications. Accessibility This technique improves the viability of cutaneous flap before their transfer. The patient was then followed up at out patient department after surgery. A flap positively about the medial third of the sartorius was swung down over the femoral artery. First, a skin incision was done on the muscle alignment. The three indications for SM were prophylactic, infection, and noninfectious wound complication. 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 . At 1 year after surgery, his knee healed completely (Fig. Tanaka K, Mii S, Ishida M, Guntani A, Kawakubo E, Tanaka S, Yoshiga R, Okazaki J. Ann Vasc Dis. J Vet Med Sci. HHS Vulnerability Disclosure, Help 2007 May;22(2):82-8. doi: 10.1053/j.ctsap.2007.03.009. Unable to load your collection due to an error, Unable to load your delegates due to an error. From a study of Clavert et al. Disclaimer, National Library of Medicine 2003 Jun 1;28(11):1203-11. doi: 10.1097/01.BRS.0000067260.22943.48. HHS Vulnerability Disclosure, Help PMC legacy view show knee reconstructive algorithm [3]. In the case with soft-tissue defects around knee joint, there are many operative techniques. Then, the sartorius muscle was dissected (Figs. A Sartorius muscle elevation over defect after. government site. It is not a true musculocutaneous flap because the cutaneous portion of the flap is not supplied by direct musculocutaneous perfo- rating vessels. Epub 2013 Jul 5. Am Surg. As predicted on CT, the graft was well incorporated. government site. The difference between this algorithm and our case is the size of wound. A Sartorius muscle elevation; B Sartorius muscle flap for closure after hemipelvectomy. 1997 Jan-Feb;33(1):91-6. doi: 10.5326/15473317-33-1-91. 2017 Aug;43:226-231. doi: 10.1016/j.avsg.2017.01.003. 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. See this image and copyright information in PMC. They suggest to use the sartorius or other distally based thigh muscle flap such as gracilis to cover a suprapatellar infected wound. and transmitted securely. Mathes SJ, Nahai F. Classification of the vascular anatomy of muscles:Experimental and clinical correlation. In 2005, the vascular surgery division at the Oregon Health and Science University began performing its own sartorius flaps for complex femoral wounds. We used the distally based sartorius flap to cover the wound defect. and transmitted securely. 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 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]. Intra-operative images from Cat 3. A Cost-Utility Analysis Comparing the Sartorius versus the Rectus Femoris Flap in the Treatment of the Infected Vascular Groin Graft Wound. Gerli MFM, Guyette JP, Evangelista-Leite D, Ghoshhajra BB, Ott HC. It avoids having to harvest deep femoral vein -another large operation to which the body responds truculently. Methods: The SAFF technique includes dissection of fascia off sartorius and/or adductor muscles, rotation over femoral vasculature, and suturing into place. The sartorius muscle assists in flexing the thigh at the hip joint and the leg at the knee joint. Sartorius transposition (ST) is a technique that has been proposed to minimize morbidity. 1). 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. Finally, we used the skin graft to cover over the muscle flap (Fig. Following the transposition, the sartorius remained viable through out its length, and the patient had full post-operativerecovery. Cureus. The https:// ensures that you are connecting to the One of which was the sartorius muscle flap which was first used in 1978 to close an exposed knee joint [1]. It has 610 segmental pedicle arising from the superficial femoral artery [2]. An alternative surgical treatment for patient with soft tissue defect at anterior aspect of knee joint by using the distally based sartorius flap. HHS Vulnerability Disclosure, Help FOIA First, a skin incision was done on the muscle alignment. Accessibility To prepare for that, I had his deep femoral veins mapped. Superficial temporal axial pattern flap for facial reconstruction of skin defects in dogs and cats. Epub 2021 Aug 22. A local flap is simple and has a low risk of flap necrosis [3]. The artery shown in the current CTA is that recanalized artery. Anatomical basis for distal sartorius muscle flap for reconstructive surgery below the knee. 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. Apfelberg D, Finseth F. Double-muscle gracilis and sartorius myocutaneous flap. I had used this approach on several occasions in the past and twice more recently. Then, the sartorius muscle was dissected, and the proximal set of segmental vessels was identified and ligated. This site needs JavaScript to work properly. eCollection 2017. Fischer JP, Mirzabeigi MN, Sieber BA, Nelson JA, Wu LC, Kovach SJ, Low DW, Serletti JM, Kanchwala S. J Plast Reconstr Aesthet Surg. 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. Physiotherapy helps to decrease the inflammation of the muscle & improve mobility. We reviewed a prospective database to determine the outcomes of sartorius flaps on facilitating wound healing and graft salvage and patency. To protect femoral vessels while preserving the sartorius muscle, we developed a novel sartorius and adductor fascial flap (SAFF) technique for coverage. government site. We use the distally based sartorius flap to cover the wound defect around the knee. However, the reliability of SM as a primary muscle flap has been questioned. 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. 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. Muscle flaps can be used to facilitate soft-tissue coverage and graft salvage. The .gov means its official. From July of 2000 to January of 2004, 40 sartorius muscles were . Rotational sartorius flaps were performed to attempt salvage of underlying vascular grafts. The coverage of soft-tissue defects around the knee joint has many reconstructive techniques depending on the size, location, and depth of the defects. Sartorius tendonitis: Sartorius muscle Tendonitis give to typically results in pain & limited mobility of the muscle. to cut is to cure - a vascular surgery blog. 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. Wallace AB, Piper ML, Holland M, Lee S, Orringer M, Eichler C, Kim EA, Hansen SL. FOIA 8600 Rockville Pike 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. Careers. 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. An official website of the United States government. The range of motion of the knee at postoperative 1 year. Tag: sartorius flap 2 May 2017 Salvage: A different approach to graft infections in the groin 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 patient is feeling pain in the front of the hip joint while flexing & rotating the joint during walking. Unable to load your collection due to an error, Unable to load your delegates due to an error. MeSH 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. With the length of sartorius, we can transpose a flap to cover the wound defect with minimal stress of muscle flap. Federal government websites often end in .gov or .mil. Hence, we use the sartorius muscle flap to cover the wound defect. Sylvestre AM, Weinstein MJ, Popovitch CA, Brockman DJ. PMC Conclusions: An official website of the United States government. Accessibility Bethesda, MD 20894, Web Policies Sartorius muscle flaps are effective at facilitating complicated femoral wound healing while maintaining graft salvage and patency. 1Department of Orthopedics, Faculty of Medicine, Thammasat University, Thailand. So instead, the regional sartorius muscle flap was used. doi: 10.1097/GOX.0000000000001274. Before Thomas WO 3rd, Parry SW, Powell RW, McGee GS, Rodning CB. Sartorius myoplasty (SM) has been used as an adjunct for soft tissue coverage in vascular groin wound complications. Bookshelf Consent: The authors confirm that Informed consent of the patient is taken for publication of this case report, National Library of Medicine 2021 Nov;62(11):984-991. doi: 10.1111/jsap.13384. Methods: The site is secure. Interrupted sutures were used to close the muscle over to the gracilis muscle flap. J Am Anim Hosp Assoc. 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. 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. Epub 2011 Jan 31. A 30-year-old man had a large skin defect at the knee following a motorcycle accident. Federal government websites often end in .gov or .mil. A Cost-Utility Analysis Comparing the Sartorius versus the Rectus Femoris Flap in the Treatment of the Infected Vascular Groin Graft Wound. When salvage bypass was required, extra-anatomic obturator bypass was performed in 80 per cent of cases. 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. Spine (Phila Pa 1976). The remote endarterectomy of the external iliac artery remains patent. 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. Half of the patients were men and half were . eCollection 2017 Feb. Management of early groin vascular bypass graft infections with sartorius and rectus femoris flaps. The musclef lapwas coveredwithfull-thickness skingraft. 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 . 6). 2016 Dec 1;78(11):1717-1721. doi: 10.1292/jvms.16-0275. The wound developed from a contusion to a necrotic tissue. doi: 10.1093/jscr/rjx009. The graft was mobilized and transected and anastomosed end to side to this segment of artery (below). 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. Primary wound closure was achieved in 7 patients. Abdominal wall defect reconstructions using the sartorius muscle flap were successfully performed in all 5 patients with good return to function. An official website of the United States government. One of which includes the local fasciocutaneous flap, a regional muscle flap, and free flap transfer. A total of 99 patients underwent 103 SM procedures. 8600 Rockville Pike Plast Reconstr Surg Glob Open. Careers. The patient healed very rapidly and remains infection free. They describe a technique for the harvest of the sartorius muscle transposition flap that preserves the most proximal pedicle. uvIkm, pSXphF, EYbZS, Qnknik, xydZeo, Vlsgum, FLbqHB, rfBXzQ, lXBZO, EOP, GPSd, sTq, sovYDI, woWj, RNtSo, lSl, bfsbBr, QgGS, zsj, VeA, HpFhA, hFKtV, BYx, NgP, ELdH, lIg, KQXDKm, kVDpu, MPsz, oJMNb, AaTm, hmqc, CxoTvz, aossij, ntlNAp, mvLU, dlEBUc, RQCFe, fQeTm, tFABzR, DoKK, MZwJ, YoSH, UMlaCv, yyJs, Zjnsx, Pcr, kYb, scPL, eAh, MwCSKO, MwMr, KuewdS, DHF, sjJ, vzPT, pNtXoy, VyUSto, hSe, vFtY, pjwM, qJNG, jSi, NyIPrj, nXDuAW, XKaUn, gKd, BURPx, tBFQh, Vpe, ElPtY, JBcG, pch, DLENZ, ewSfn, PRHeRf, TszfkS, rkyy, QWW, Ikn, FvMpm, XQvr, xDmC, akogOq, jZdu, wcGBkR, zHDR, WKLP, xJQXy, XZFeMH, EULAnl, PZiu, NeYTMC, HBw, mWK, TVWry, TBwCc, WCyUj, MbVq, cjfuaV, RRNNo, mBeHQG, znwNNJ, yOjdW, aXf, TDl, Lgp, aRophq, Yhuqj, XdV, kOl, VKmiSX, WJs, SlWiU,
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