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Exposed implant used for fixation of a complex tibial fracture. Covered successfully with a Gastrocnemius Muscle flap.
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GASTROCNEMIUS MUSCLE FLAP
Shailesh NisalParikshit JanaiSparsh Clinics, Nagpur Indiawww.sparshclinics.com
Exposed lower end of plate, bony fixation stable
Lower end became stable, exposed implant in the upper part
Medial belly of Gastrocnemius dissected by midline posterior incision, cut from the common tendon.
Muscle tunneled to cover the defect, vascularity intact
Critical area covered with vascular tissue and spit skin grafted
Stable vascularised cover provided, favorable for fracture healing
THANKS…..QUESTIONS ?
Shailesh Nisal & Parikshit JanaiSparsh Clinics, Nagpur, INDIAwww.sparshclinics.com